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[Diagnostic activity in general practice. 1. Patients' contact patterns in rural and urban general practices]

https://arctichealth.org/en/permalink/ahliterature73824
Source
Ugeskr Laeger. 1989 Dec 11;151(50):3388-91
Publication Type
Article
Date
Dec-11-1989
Author
A. Krogh
K. Astvad
V. Iversen
Source
Ugeskr Laeger. 1989 Dec 11;151(50):3388-91
Date
Dec-11-1989
Language
Danish
Publication Type
Article
Keywords
Adult
Aged
Denmark
English Abstract
Family Practice
Female
Humans
Male
Middle Aged
Referral and Consultation
Research Support, Non-U.S. Gov't
Rural Population
Urban Population
Abstract
Contact with patients was described retrospectively for a period of five years by means of careful notes from the case records in five general practices in urban and rural areas chosen at random as a representative spot test. A total of 968 persons in group 1 of the Danish National Health Insurance (98-99% of the population), 485 men and 483 women or 9.7% of the group 1 insured persons over the age of 30 years had 10,410 consultations. This corresponds to 2.15 consultations per annum for persons in group 1 insurance. 91% of the patients visited the consultation. 17% of all the patient, twice as many women as men, were responsible for 50% of all the consultations. Women had 45% more consultations than men. Women in the age group 35-54 years constituted the group where most persons of the group visited general practice and this group had also the greatest total number of consultations, viz 30% of the total. Significantly more women than men had many consultations in this age group while significantly more men than women had only few consultations in the age group between 35-44 years. Expressed in percentages, the age group 55-64 years showed greatest similarity between men and women. Half of the men and slightly more than one third of all the women consulted their practitioners once per annum or more rarely. Patients of 75 years or over consulted their general practitioners most frequently.
PubMed ID
2609444 View in PubMed
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[Diagnostic activity in general practice. 2. Frequency of examination of urinary glucose and blood pressure determination among patients in general practice]

https://arctichealth.org/en/permalink/ahliterature48743
Source
Ugeskr Laeger. 1989 Dec 11;151(50):3391-3
Publication Type
Article
Date
Dec-11-1989
Author
K. Astvad
A. Krogh
V. Iversen
Source
Ugeskr Laeger. 1989 Dec 11;151(50):3391-3
Date
Dec-11-1989
Language
Danish
Publication Type
Article
Keywords
Adult
Aged
Blood Pressure Determination
Denmark
Diabetes Mellitus - epidemiology - urine
English Abstract
Family Practice
Female
Glycosuria - diagnosis
Humans
Hypertension - epidemiology
Male
Middle Aged
Research Support, Non-U.S. Gov't
Abstract
In order to estimate how frequently examinations of urine for glucosuria and blood pressure measurements are performed in the primary health care sector to detect common incapacitating diseases such as diabetes and hypertension, the authors carried out a study in five general practices in Denmark for a period of five years. The study was retrospective because it is not possible to study one's own behaviour prospectively. Nearly 1,000 persons aged 30 years or more were involved. 9% of the group had no contact with the health care sector during the period. In 49%, the urine had been tested at least once for glucose; 58% where women were concerned but only 40% of the men. Men under the age of 55 years were significantly underrepresented. Examination of the urine was only undertaken in 51% of the persons aged 55-74 years. Twelve new cases of diabetes were discovered, nine of these were diagnosed in general practice. Hypertension had been diagnosed in 52 patients before the registration period. 60% of the remainder had blood pressure measurements on at least one occasion during the period. Men under 55 years were significantly underrepresented (42%). Sixty-four new cases of hypertension were discovered, 59 of these in general practice. Screening for common diseases such as these is primarily performed by general practitioner. Several other works from general practice where no special efforts were made to systematize screening for diabetes or hypertension did not reveal any better results. It is estimated that 25% of diabetic patients and 50% of hypertensive patients remain undiagnosed. The present rather random screening for these diseases is insufficient.(ABSTRACT TRUNCATED AT 250 WORDS)
PubMed ID
2609445 View in PubMed
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[Diagnostic activity in general practice. 3. Diagnosis of breast diseases]

https://arctichealth.org/en/permalink/ahliterature25272
Source
Ugeskr Laeger. 1990 Jan 22;152(4):222-4
Publication Type
Article
Date
Jan-22-1990
Author
V. Iversen
A. Krogh
K. Astvad
Source
Ugeskr Laeger. 1990 Jan 22;152(4):222-4
Date
Jan-22-1990
Language
Danish
Publication Type
Article
Keywords
Adult
Breast Neoplasms - diagnosis
Denmark
English Abstract
Family Practice
Female
Humans
Mammography
Mass Screening
Random Allocation
Abstract
A random sample of 483 women from five practices representing a basic population of 4,867 women over the age of 35 years was selected in order to assess the examination activity for cancer of the breast. The examination activity in practice decreased with increasing age simultaneously with increase in the incidence of cancer of the breast. The possibility for a 93% total screening per five years is present but does not appear to be practically feasible. All of the positive findings occur in women seeking advice on account of symptoms. Instruction in self-examination will probably result in an increased number of referrals for this reason. Among the possibilities for teaching self-examination and regular control, women receiving hormonal contraception and women receiving substitution therapy at the menopause are suggested as possible clienteles. In both of these cases, annual examination of the breast should be performed in advance.
PubMed ID
2301063 View in PubMed
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[Low-energy laser therapy in medial tibial stress syndrome].

https://arctichealth.org/en/permalink/ahliterature216717
Source
Ugeskr Laeger. 1994 Dec 5;156(49):7329-31
Publication Type
Article
Date
Dec-5-1994
Author
L R Nissen
K. Astvad
L. Madsen
Author Affiliation
Jydske Dragonregiment, infirmeriet, Holstebro.
Source
Ugeskr Laeger. 1994 Dec 5;156(49):7329-31
Date
Dec-5-1994
Language
Danish
Publication Type
Article
Keywords
Adult
Cumulative Trauma Disorders - radiotherapy
Denmark
Humans
Laser Therapy
Male
Military Medicine
Military Personnel
Radiotherapy Dosage
Syndrome
Tibia - physiopathology
Abstract
The effect of low-energy laser therapy on shin splints was examined in a randomized study with an unblinded design. Constripts from the Jutland Dragoon regiment with shin splints were given either active laser treatment (40 mW in 60 sec per cm tender tibia edge) or placebo laser. All patients were exempted from normal duty concerning activities like running and march. Forty-nine patients participated in the study, 23 in the laser group and 26 in the control group. From the start the study was designed to be double-blind, but by accident the code was broken towards the end of the study. We found no significant differences between the groups regarding pain visual analog score and readiness to return to active duty after 14 days.
PubMed ID
7801390 View in PubMed
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Peritoneal and genital coccidioidomycosis in an otherwise healthy Danish female: a case report.

https://arctichealth.org/en/permalink/ahliterature283836
Source
BMC Infect Dis. 2017 Jan 31;17(1):105
Publication Type
Article
Date
Jan-31-2017
Author
O. Bæk
K. Astvad
R. Serizawa
LJ Wheat
PT Brenøe
AE Hansen
Source
BMC Infect Dis. 2017 Jan 31;17(1):105
Date
Jan-31-2017
Language
English
Publication Type
Article
Keywords
Abdomen, Acute - etiology
Adult
Coccidioidomycosis - complications - diagnosis - diagnostic imaging
Denmark
Diagnosis, Differential
Female
Humans
Lung Diseases, Fungal - complications - diagnosis - diagnostic imaging
Peritoneal Diseases - complications - diagnosis - diagnostic imaging
Tomography, X-Ray Computed
Travel
Abstract
Coccidioidomycosis is a fungal infection that usually presents as a primary lung infection. The fungus is endemic to the Southwest United States of America, northern Mexico and parts of Central and South America the infection is rare outside these areas. However, some patients develop disseminated infection that can lie dormant for several years and can present itself in travelers. We report the first case of extra pulmonary Coccidioidomycosis in a non-immunocompromised individual in Denmark.
A 32 year old Danish woman presented at the Emergency department with abdominal pain. Computed tomography scan and ultrasound examination of the pelvis raised suspicion of salpingitis. A laparoscopy exposed a necrotic salpinx and several small white elements that resembled peritoneal carcinomatosis. Histological workup however determined that she suffered from disseminated coccidioidomycosis. The patient had lived 2 years in Las Vegas, in the United States of America, 7 years prior and had no memory of lung infection at the time.
Disseminated coccidioidomycosis is rare in non-immunocompromised individuals. The patient in this case underwent several rounds of in vitro fertilization treatment in the years before admittance. We suspect that the hormonal treatment in combination with low-dose prednisolone may have triggered reemergence of the disease and present literature that support this.
Notes
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PubMed ID
28143444 View in PubMed
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7 records – page 1 of 1.