LaeknabladidPub Date : 2023-02-01DOI: 10.17992/lbl.2023.02.727
Svanur Sigurbjornsson
{"title":"[A growing tree of need in a small flower-pot for cure].","authors":"Svanur Sigurbjornsson","doi":"10.17992/lbl.2023.02.727","DOIUrl":"https://doi.org/10.17992/lbl.2023.02.727","url":null,"abstract":"","PeriodicalId":49924,"journal":{"name":"Laeknabladid","volume":"109 2","pages":"65"},"PeriodicalIF":0.4,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9169521","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}
LaeknabladidPub Date : 2023-02-01DOI: 10.17992/lbl.2023.02.729
Embla Yr Gudmundsdottir, Lilja Vigfusdottir, Helga Gottfredsdottir
{"title":"[Preterm birth among Icelandic and migrant women in Iceland during 1997-2018 and main contributing factors].","authors":"Embla Yr Gudmundsdottir, Lilja Vigfusdottir, Helga Gottfredsdottir","doi":"10.17992/lbl.2023.02.729","DOIUrl":"https://doi.org/10.17992/lbl.2023.02.729","url":null,"abstract":"<p><strong>Introduction: </strong>Migrant women often experience worse perinatal outcomes during pregnancy, birth, and puerperium than native women, but results regarding preterm birth vary. The objective of this study was to detect the prevalence and risk factors of preterm birth among Icelandic and migrant women in Iceland.</p><p><strong>Material and methods: </strong>The study was a population-based cohort study with data from the Icelandic Medical Birth Register. The cohort included all women who had a singleton birth from 22w0d to 36w6d of pregnancy in the years 1997-2018, a total of 89 170 women. The group was divided in two; women with an Icelandic citizenship and women with foreign citizenship, that were further divided according to the Human Development Index (HDI) of their country of citizenship. Preterm birth rate and risk factor prevalence was analysed according to this classification and significance in differences measured with a chi-square test.</p><p><strong>Results: </strong>Significance in differences of preterm birth was found between Icelandic (4.4%) and migrant women (5.6%) (p<0.001). Migrant women from middle-HDI countries gave birth preterm in 5.5% of cases (p<0.01) and women from low-HDI countries in 6.4% of cases (p<0.001). Migrant women were more often diagnosed with urinary tract infections, diabetes, intrauterine growth restriction and premature rupture of membranes, but less often with pre-eclampsia, obesity, placental defect, mental health issues and age p<18 years (p<0.05).</p><p><strong>Conclusion: </strong>Migrant women in Iceland from middle-HDI and low-HDI countries give birth preterm more often than Icelandic women. A difference in risk factors is also present and needs further research. The findings can be used in continuing development of prenatal care for migrant women in Iceland.</p>","PeriodicalId":49924,"journal":{"name":"Laeknabladid","volume":"109 2","pages":"75-81"},"PeriodicalIF":0.4,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10574792","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}
LaeknabladidPub Date : 2023-01-01DOI: 10.17992/lbl.2023.01.725
Ivar Saevarsson, Soffía Jonasdottir, B. Jonsdottir
{"title":"[Weigth Loss in a Neonate- A Case of Hypoaldosteronism].","authors":"Ivar Saevarsson, Soffía Jonasdottir, B. Jonsdottir","doi":"10.17992/lbl.2023.01.725","DOIUrl":"https://doi.org/10.17992/lbl.2023.01.725","url":null,"abstract":"The Neonatal weight loss is a common problem which most physicians who take care of newborns should recognise. The most common reason is insufficient dietary intake. However the reason can also be an underlying disease. Aldosterone insufficiency in neonates is a rare disease and if not treated correctly can be life threatening. It presents with serious electrolytes abnormalities and metabolic acidosis. It is therefore important to distinguish between serious and benign causes of weight loss in neonates.","PeriodicalId":49924,"journal":{"name":"Laeknabladid","volume":"21 1","pages":"18-21"},"PeriodicalIF":0.4,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84655903","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}
LaeknabladidPub Date : 2023-01-01DOI: 10.17992/lbl.2023.01.722
Helga Agusta Sigurjonsdottir
{"title":"[Scientific work and education of doctors to specialists - hope and faith for better times].","authors":"Helga Agusta Sigurjonsdottir","doi":"10.17992/lbl.2023.01.722","DOIUrl":"https://doi.org/10.17992/lbl.2023.01.722","url":null,"abstract":"","PeriodicalId":49924,"journal":{"name":"Laeknabladid","volume":"109 1","pages":"7"},"PeriodicalIF":0.4,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10494293","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}
LaeknabladidPub Date : 2023-01-01DOI: doi 10.17992/lbl.2023.01.725
Ivar Saevarsson, Soffia Gudrun Jonasdottir, Berglind Jonsdottir
{"title":"[Weigth Loss in a Neonate- A Case of Hypoaldosteronism].","authors":"Ivar Saevarsson, Soffia Gudrun Jonasdottir, Berglind Jonsdottir","doi":"doi 10.17992/lbl.2023.01.725","DOIUrl":"https://doi.org/doi 10.17992/lbl.2023.01.725","url":null,"abstract":"<p><p>The Neonatal weight loss is a common problem which most physicians who take care of newborns should recognise. The most common reason is insufficient dietary intake. However the reason can also be an underlying disease. Aldosterone insufficiency in neonates is a rare disease and if not treated correctly can be life threatening. It presents with serious electrolytes abnormalities and metabolic acidosis. It is therefore important to distinguish between serious and benign causes of weight loss in neonates.</p>","PeriodicalId":49924,"journal":{"name":"Laeknabladid","volume":"109 1","pages":"18-21"},"PeriodicalIF":0.4,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10417886","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}
LaeknabladidPub Date : 2023-01-01DOI: doi 10.17992/lbl.2023.01.724
Solveig Sara Olafsdottir, Jon Hersir Eliasson, Anna Margret Gudmundsdottir, Emil L Sigurdsson, Larus S Gudmundsson
{"title":"[Migraine prevalence, migraine incidence and migraine drug prescriptions in primary care in the capital region of Iceland].","authors":"Solveig Sara Olafsdottir, Jon Hersir Eliasson, Anna Margret Gudmundsdottir, Emil L Sigurdsson, Larus S Gudmundsson","doi":"doi 10.17992/lbl.2023.01.724","DOIUrl":"https://doi.org/doi 10.17992/lbl.2023.01.724","url":null,"abstract":"<p><strong>Introduction: </strong>The study aim was to describe migraine incidence over the ten-year periods, 2000-2009 and 2010-2019, in individuals aged 10-79 years in primary healthcare centre (PHCC) Sólvangur and Fjörður, Hafnarfirði. Another aim was to estimate migraine prevalence in primary care clinics in the capital area of Iceland over the period 2010-2019 and describe prescriptions for migraine specific drugs and other drugs used for migraine.</p><p><strong>Material and methods: </strong>This is a retrospective study based on data from medical records from the primary care clinics of the capital region of Iceland. The cohort consisted of individuals aged 10-79 years who were diagnosed with migraine, G43 according to the ICD-10 classification system.</p><p><strong>Results: </strong>Migraine incidence at age 10-79 years over the ten-year period 2000-2009 at the primary care clinic Sólvangur was estimated 3.4 cases per 1000 person-years, during the period 2010-2019 in both Sólvangur and Fjörður clinics migraine incidence was estimated 2.9 cases per 1000 person-years. Increase was shown between the two periods in prescriptions of triptan drugs, opioids, and beta-blockers, where two-thirds of the migraineurs got prescription over the two periods. Women were three times more likely to be diagnosed with migraine than men, but men were diagnosed at younger age than women. Migraine prevalence at age 10-79 years in PHCCs in the capital area of Iceland was 4.4% over the period 2010-2019.</p><p><strong>Conclusion: </strong>Migraine prevalence in the PHCCs of the capital area of Iceland was only one third of migraine prevalence in the population-based cohort pilot study Heilsusaga Íslendinga. Increase in opioid drug prescriptions for individuals diagnosed with migraine is of concern and needs further study.</p>","PeriodicalId":49924,"journal":{"name":"Laeknabladid","volume":"109 1","pages":"11-17"},"PeriodicalIF":0.4,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10417887","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}
LaeknabladidPub Date : 2023-01-01DOI: 10.17992/lbl.2023.01.724
Sólveig Sara Ólafsdóttir, Jon H. Eliasson, A. M. Gudmundsdottir, E. Sigurdsson, L. S. Gudmundsson
{"title":"[Migraine prevalence, migraine incidence and migraine drug prescriptions in primary care in the capital region of Iceland].","authors":"Sólveig Sara Ólafsdóttir, Jon H. Eliasson, A. M. Gudmundsdottir, E. Sigurdsson, L. S. Gudmundsson","doi":"10.17992/lbl.2023.01.724","DOIUrl":"https://doi.org/10.17992/lbl.2023.01.724","url":null,"abstract":"INTRODUCTION\u0000The study aim was to describe migraine incidence over the ten-year periods, 2000-2009 and 2010-2019, in individuals aged 10-79 years in primary healthcare centre (PHCC) Sólvangur and Fjörður, Hafnarfirði. Another aim was to estimate migraine prevalence in primary care clinics in the capital area of Iceland over the period 2010-2019 and describe prescriptions for migraine specific drugs and other drugs used for migraine.\u0000\u0000\u0000MATERIAL AND METHODS\u0000This is a retrospective study based on data from medical records from the primary care clinics of the capital region of Iceland. The cohort consisted of individuals aged 10-79 years who were diagnosed with migraine, G43 according to the ICD-10 classification system.\u0000\u0000\u0000RESULTS\u0000Migraine incidence at age 10-79 years over the ten-year period 2000-2009 at the primary care clinic Sólvangur was estimated 3.4 cases per 1000 person-years, during the period 2010-2019 in both Sólvangur and Fjörður clinics migraine incidence was estimated 2.9 cases per 1000 person-years. Increase was shown between the two periods in prescriptions of triptan drugs, opioids, and beta-blockers, where two-thirds of the migraineurs got prescription over the two periods. Women were three times more likely to be diagnosed with migraine than men, but men were diagnosed at younger age than women. Migraine prevalence at age 10-79 years in PHCCs in the capital area of Iceland was 4.4% over the period 2010-2019.\u0000\u0000\u0000CONCLUSION\u0000Migraine prevalence in the PHCCs of the capital area of Iceland was only one third of migraine prevalence in the population-based cohort pilot study Heilsusaga Íslendinga. Increase in opioid drug prescriptions for individuals diagnosed with migraine is of concern and needs further study.","PeriodicalId":49924,"journal":{"name":"Laeknabladid","volume":"96 1","pages":"11-17"},"PeriodicalIF":0.4,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87698794","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}
LaeknabladidPub Date : 2022-12-01DOI: 10.17992/lbl.2022.12.720
David Thor Jonsson, Olof Birna Olafsdottir, Maria Soffia Gottfredsdottir
{"title":"[Visual field loss in eyes undergoing minimally invasive glaucoma surgery in Iceland].","authors":"David Thor Jonsson, Olof Birna Olafsdottir, Maria Soffia Gottfredsdottir","doi":"10.17992/lbl.2022.12.720","DOIUrl":"https://doi.org/10.17992/lbl.2022.12.720","url":null,"abstract":"<p><strong>Introduction: </strong>Glaucoma is a degenerative disease of the optic nerve and is marked by visual field defects (VFD). The only approved treatment is IOP lowering, either with eye drops, laser or surgery. Minimally invasive glaucoma surgery (MIGS) has become an appealing treatment modality, offering IOP lowering effect without the complication rates of trabeculectomy or the patient adherence required for pharmacologic therapy. In this study we aim to describe the severity of VFD in patients undergoing their first MIGS surgery.</p><p><strong>Methods: </strong>Retrospective study reviewing the medical records of all patients that underwent MIGS surgery at the University Hospital of Iceland from January 2019 to June 2020. Eyes with previous glaucoma surgeries and secondary glaucomas were excluded. The results were divided into two groups, MIGS with phacoemulsification and standalone MIGS.</p><p><strong>Results: </strong>112 eyes included in the study. Mean age 74.5 ± 10.6 years. The mean defect (MD) score was 8.8 ± 6.4 and the number of glaucoma medications 1.8 ± 1.0 for the group as a whole. Significant difference (p<0.01) was between the age, MD score and the number of glaucoma medications between the two groups. Looking at the eyes that did not undergo phacoemulsification a significant difference (p<0.05) was between the MD score of primary open angle glaucoma eyes, 11.2 ± 6.5 dB and pseudoexfoliation glaucoma, 6.0 ± 3.3 dB.</p><p><strong>Conclusion: </strong>Visual field defect and the number of glaucoma medications at referral to surgery was markedly less compared to a trabeculectomy study done in Iceland 3 years prior. Few comparable studies include MD score in their results, most focus on changes in intraocular pressure. Comparing the MD score to three studies from Germany and Austria the MD score seems to be similar. In our study a lower MD score for pseudoexfoliation glaucoma implies that Icelandic ophthalmologists send pseudoexfoliation eyes earlier for an operation.</p>","PeriodicalId":49924,"journal":{"name":"Laeknabladid","volume":" ","pages":"547-551"},"PeriodicalIF":0.4,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40547132","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}
LaeknabladidPub Date : 2022-12-01DOI: 10.17992/lbl.2022.12.718
Gunnar Mar Zoega
{"title":"[Fire-works related eye injuries].","authors":"Gunnar Mar Zoega","doi":"10.17992/lbl.2022.12.718","DOIUrl":"https://doi.org/10.17992/lbl.2022.12.718","url":null,"abstract":"","PeriodicalId":49924,"journal":{"name":"Laeknabladid","volume":"108 12","pages":"537"},"PeriodicalIF":0.4,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10718880","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}