| 1. |
- Gudbjartsson, Tómas, et al.
(författare)
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Mennun, starfsvettvangur og framtídarhorfur a vinnumarkadi íslenskra skurdlaekna
- 2010
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Ingår i: Laeknabladid. - 0023-7213. ; 96:10, s. 9-603
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Tidskriftsartikel (refereegranskat)abstract
- INTRODUCTION: Information about the education, training and future employment prospects of Icelandic surgeons has not been available.MATERIALS AND METHODS: The study included all Icelandic surgeons, in all subspecialties, educated at the Faculty of Medicine at the University of Iceland. Information on specialty training, higher academic degrees and in which country these were obtained was collected. Future employment prospects were analysed by calculating supply and demand until the year 2025. Approximations, such as sustained demand for surgeons per capita, were used.RESULTS: Out of 237 licensed surgeons, two thirds were living in Iceland and 36 were retired. Majority (69.2%) had been trained in Sweden and orthopaedic (26.9%) and general surgery (23.9%) were the most common subspecialties. The average age of surgeons in Iceland was 52 years and 44 years for surgeons abroad. Females were 8% of surgeons in Iceland while being 17.4% among 36 doctors in surgical training overseas. Over 19% had received a PhD degree. Predictions suggest that supply and demand for surgeons in Iceland will be equal in the year 2025, not taking into account the prospects for the working market outside Iceland.CONCLUSION: A third of Icelandic surgeons live outside Iceland. The proportion of female surgeons is low but it is increasing. Our predictions indicate a balanced work market for surgeons in Iceland for the next 15 years. However, there are many uncertainty factors in the calculations and they do not predict the prospects for individual subspecialties.
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| 2. |
- Haraldsdottir, Sigurdis, et al.
(författare)
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Krabbamein í ristli og endaþarmi - yfirlitsgrein
- 2014
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Ingår i: Laeknabladid. - 0023-7213. ; 100:2, s. 75-82
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Forskningsöversikt (refereegranskat)abstract
- Colorectal cancer is the third most common cancer in the Western hemisphere and the incidence increases with increasing age. Most colorectal cancers are localized with or without lymph node metastases. Up to 20% of patients present with metastatic disease, most commonly to the liver. Surgery is the only curative therapy for localized colorectal cancer and adjuvant chemotherapy is usually recommended for patients with lymph node metastases. Surgery, radiation therapy and chemotherapy are the key components of rectal cancer therapy. Selected patients with recurrent and metastatic disease can be salvaged with surgery but chemotherapy remains the mainstay of therapy for advanced colorectal cancer. Substantial progress has been observed in the treatment of metastatic colorectal cancer in recent years.
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| 3. |
- Helgadóttir, Björg, et al.
(författare)
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[Utilization of complimentary and alternative health services in Iceland].
- 2010
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Ingår i: Laeknabladid. - 0023-7213 .- 1670-4959. ; 96:4, s. 267-73
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- OBJECTIVE: Westerners increasingly use complimentary and alternative (CAM) methods for curing illness and promoting health. The central ideas of CAM appear to resonate with large segments of the general public. Little is known about CAM use in Iceland. The purpose of the study was to assess the scope of utilization of CAM providers and the likely explanatory factors.MATERIAL AND METHODS: The data come from a national postal health survey that took place during the Fall of 2006. A sample of Icelandic adults, age 18-75, was randomly drawn from the National Register. 1532 individuals responded to the survey yielding a 60% response rate.RESULTS: Almost 32% of the respondents had used a CAM provider in the past 12 months, an estimated increase of 6% since 1998. Women and high income individuals were more likely to use a CAM provider than men and lower income individuals. Physical and mental distress was also related to the likelihood of CAM use. Individuals having negative or positive attitude toward physician services were more likely to use a CAM provider than those expressing a neutral attitude. Finally, repeated physician visits were related to an increased likelihood of CAM use.CONCLUSIONS: Icelanders use CAM providers to a considerable degree, and CAM use has increased in recent years. It appears that some clients regard the care they receive in the general health system as insufficient. Most CAM users appear to use CAM treatments as a supplement to the care received in the general health system.
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| 4. |
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| 5. |
- Vidarsdottir, Halla, et al.
(författare)
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Kirtilkrabbamein í botnlanga á islandi 1990-2009 -- lýdgrundud rannsókn
- 2011
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Ingår i: Laeknabladid. - 0023-7213. ; 97:10, s. 42-537
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: Adenocarcinoma of the appendix is less than 0.5% of all gastrointestinal cancers. The aim of this study was to analyse the incidence, symptoms, pathology and treatment of appendiceal adenocarcinoma in a well defined cohort as well as the prognosis of the patients.MATERIALS AND METHODS: This is a retrospective study on all patients diagnosed with adenocarcinoma of the appendix in Iceland from 1990-2009. Information on epidemiological factors, survival and treatment was collected. All histological material was reviewed. Overall survival was estimated with median follow up of 15 months (range, 0-158).RESULTS: A total of 22 patients were diagnosed with appendiceal adenocarinoma in the study period (median age 63 yrs, range: 30-88, 50% males). Age-standardized incidence was 0.4/100,000/year. The most common symptom was abdominal pain (n=10). Eight patients had clinical signs of appendicitis. Most patients were diagnosed at operation or at pathological examination but one patient was diagnosed at autopsy. Five patients had an appendectomy and 11 a right hemicolectomy. One patient was not operated on and in three patients only a biopsy was taken. Twelve patients had chemotherapy and seven of them for metastatic disease. Eight patients had adenocarcinoma, seven mucinous adenocarcinoma, three signet ring adenocarcinoma, one mixed goblet cell carcinoid and mucinous adenocarcinoma,one mixed adenocarcinoma and signet ring adenocarcinoma and two a mucinous tumour of unknown malignant potential. In eight cases the tumor originated in adenoma. Most of the patients had a stage IV disease (n=13), three stage III, three stage II and three stage I. Operative mortality was 4.8% (n=1). Disease specific five year survival was 54% but overall five year survival was 44% respectively.CONCLUSION: Adenocarcinoma of the appendix is a rare disease. No patients were diagnosed pre-operatively. Over half of the patients presented with stage IV disease.
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| 6. |
- Vidarsdóttir, Halla, et al.
(författare)
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Skurdmedferd lungnameinvarpa - yfirlitsgrein um ábendingar og árangur medferdar
- 2013
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Ingår i: Laeknabladid. - 0023-7213. ; 99:3, s. 43-137
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Tidskriftsartikel (refereegranskat)abstract
- In Iceland every third individual is diagnosed with malignant disease; cancer being the cause of death in one out of four individuals with only cardiovascular diseases being more common cause of death. Approximately one third of cancer patients are diagnosed with lung metastases making the lungs one of the most common metastatic site. In some of these patients a metastasectomy is a treatment option with the intention of improving survival. In this evidence-based review, the indications and outcome of pulmonary metastasectomy are discussed. This review is aimed at doctors within different specialties where Icelandic studies on pulmonary metastasectomy are referred to.
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| 7. |
- Vidarsdóttir, Halla, et al.
(författare)
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Tilfelli mánadarins
- 2010
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Ingår i: Laeknabladid. - 0023-7213. ; 96:4, s. 6-275
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)
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