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- Ahmad, Abdulbaghi, 1951-, et al.
(författare)
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Trauma och utsatthet hos barn : Ny kunskap ställer krav på begreppsrevision[Child trauma and vulnerability; new knowledge necessitates conceptual revision]
- 1998
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Ingår i: Läkartidningen. - Stockholm : Sveriges läkarförbund. - 0023-7205 .- 1652-7518. ; 95:17, s. 1955-1962
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- How are we to understand a child's development--both the potentiating and inhibiting factors? The past two decades have witnessed intensive research both on mental trauma and its possible effects on the child's developing brain, and on the importance of risk factors and protective factors in children's development and health. Research in these two fields has been conducted concurrently and has yielded new, important, and in many cases complementary, information. To promote the general availability and clinical applicability of these advances in our knowledge, it is necessary to modify our conceptual approach, basing it on the child's perspective instead.
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- Alsterlund, Rolf, et al.
(författare)
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Yersinia enterocolitica-utbrott på Bjärehalvön visar på risker med kylda matvaror
- 1995
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Ingår i: Läkartidningen. - Stockholm : Sveriges läkarförbund. - 0023-7205 .- 1652-7518. ; 92:12, s. 1213-1214
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Tidskriftsartikel (refereegranskat)abstract
- På sensommaren 1988 hade man i Skåne ett stort lokalt utbrott med 61 fall av infektioner med Yersinia enterocolitica. DEn kliniska bilden var avsevärt mildare än som brukar rapporteras, med diarré, magsmärtor och feber som dominerande symtom, och endast två fall av svårare komplikationer. Den sannolika smittkällan var mjölk från ett litet mejeri där hygienen inte var den bästa, Utbrottet visar på en av många risker med distribution av industriellt framställda kylda livsmedel.
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| 18. |
- Andersen, Tonny, et al.
(författare)
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[New documentation routines in psychiatry in Västerbotten : unified structure for better quality of care].
- 1999
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Ingår i: Läkartidningen. - 0023-7205 .- 1652-7518. ; 96:17, s. 2102-6
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Tidskriftsartikel (refereegranskat)abstract
- During recent decades psychiatric health care has become increasingly complex due to substantial clinical improvements and to the growing need of integrating psychiatric services with other health and welfare services in the community. The traditional psychiatric record format is incompatible both with these requirements and with the practical advantages and difficulties of modern computer technology. In a collaborative effort involving most professional categories at three psychiatric units in the county of Västerbotten in northern Sweden, a new structured format for medical records was developed. The basic feature is a structured summary of background factors, social situation, drug habits, and general health, which is reviewed and updated as necessary. The psychiatric condition is described in some detail, including onset and course, symptomatology, personality factors, diagnosis, treatment results, suicidality, etc. Day to day treatment is outlined in in- and out-patient treatment plans, which are evaluated and revised at regular intervals. The new record format, which is used by all categories of health care professionals, is intended to promote goal-directed treatment and professional collaboration, and is easily adapted to computer technology.
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| 19. |
- Andersson, D.I, et al.
(författare)
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Antibiotikaresistens här för att stanna?
- 1998
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Ingår i: Läkartidningen. - 0023-7205 .- 1652-7518. ; 95:37, s. 3940-3944
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Forskningsöversikt (övrigt vetenskapligt/konstnärligt)
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- Andersson, Thomas, et al.
(författare)
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Vanlig svamp gav ovanlig hudinfektion : Fallbeskrivning
- 1999
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Ingår i: Läkartidningen. - 0023-7205 .- 1652-7518. ; :45, s. 4926-4927
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Tidskriftsartikel (populärvet., debatt m.m.)abstract
- Vid opportunistisk svampinfektion i huden är diagnosen sällan självklar. Ett samarbete mellan dermatolog, patolog och mykolog kan behövas, som i detta fall av kutan alternarios. Denna typ av svampinfektion innefattas i begreppet feohyfomykos.
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- Axelsson, I, et al.
(författare)
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[Recommendations for prevention of iron deficiency. Delay cow's milk intake as a beverage to infants until 10-12 months of age!]. : Rekommendationer för att förebygga järnbrist. Vänta med komjölk som dryck tills barnet är 10-12 månader!
- 1999
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Ingår i: Läkartidningen. - 0023-7205 .- 1652-7518. ; 96:18, s. 2206-8
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Tidskriftsartikel (refereegranskat)abstract
- Breast-feeding is to be encouraged during the first six months of life. Iron deficiency is extremely rare in exclusively breast-fed infants during this period. Any cow-milk based formula used should be iron-fortified. During the second half of infancy, the iron content of weaning foods is important in preventing iron deficiency. Indeed, owing to the low iron content of dairy products, it is hard to compose a weaning diet sufficiently rich in iron to meet the demands of rapidly growing infants, if it is to include substantial amounts of cow milk, sour milk or yoghurt. Accordingly, the Paediatric Committee on Nutrition and Health, of the Swedish Paediatric Association and the National Food Administration, recommend delaying the introduction of cow's milk and cow-milk products until the infant is 10-12 months of age. Until then, breast-feeding, and the use of iron-fortified formula or gruel with modified protein and sodium content are encouraged; iron-fortified porridges of softer consistency can be prepared to circumvent the need of extra fluids, or porridge can be served with breast milk or iron-fortified formula; small amounts of milk may be used for cooking purposes.
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- Axelsson, I, et al.
(författare)
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[The AD-drops can be replaced by D-drops]. : AD-dropparna kan ersättas med D-droppar
- 1999
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Ingår i: Läkartidningen. - 0023-7205 .- 1652-7518. ; 96:18, s. 2200-4
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Tidskriftsartikel (refereegranskat)abstract
- Since 1932, when vitamin A and D supplementation, in the form of cod liver oil, was introduced in Sweden, rickets has been a rare diagnosis among Swedish infants. In 1978, the National Board of Health and Welfare issued recommendations of daily supplementation with 300 micrograms (1000 IU) of vitamin A and 10 micrograms (400 IU) of vitamin D. This has recently been under review by the Paediatric Committee on Nutrition and Health, of the Swedish Paediatric Association and the National Food Administration, who concluded that there is no reason to retain vitamin A supplementation, but that vitamin D supplementation should continue to be recommended at the same daily dose (400 IU).
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| 30. |
- Becker, Wulf, et al.
(författare)
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Hög proteinhalt i svensk mat : en hälsorik?
- 1996
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Ingår i: Läkartidningen. - 0023-7205 .- 1652-7518. ; 93:1-2, s. 37-40
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- Proteininnehållet i svenskkost är relativt högt i förhållande till internationella rekommendationer. Höga proteinintaghos barn har satts i samband med ökad risk för övervikt. Hos vuxna har ett högt proteinintag,och därmed förhöjda homocysteinnivåer i serum, samtidigt med ett lågt intag av folacin förts fram som riskfaktorer förhjärt–kärlsjukdom. Det finns inga fördelar – men eventuellt nackdelar – med ett proteinintag över 15 energiprocent, eller1,5 g/kg kroppsvikt.
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- Bergqvist, David, et al.
(författare)
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Akupunktur kan ge kärlskador
- 1998
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Ingår i: Läkartidningen. - 0023-7205 .- 1652-7518. ; 95:3, s. 180-181
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)
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| 37. |
- Bergqvist, David, et al.
(författare)
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Klinisk värdering av kritisk ischemi skall alltid göras före amputation
- 1999
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Ingår i: Läkartidningen. - 0023-7205 .- 1652-7518. ; 96:7, s. 727-729
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- Patients with critical limb ischemia (rest pain and/or ulcer/gangrene, together with low ankle pressure) are at risk of amputation, and should therefore undergo arterial reconstruction if that is at all technically possible. Thorough clinical investigation will usually distinguish patients in need of further evaluation by a vascular surgeon. No amputation should be undertaken without such evaluation. Diabetic patients belong to a special category, in that neuropathy makes it difficult to evaluate pain, and ankle pressure is often falsely high due to medial arterios sclerosis.
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- Bodlund, Owe
(författare)
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[Anxiety and depression as a hidden problem in primary health care. Only one case in four identified].
- 1997
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Ingår i: Läkartidningen. - 0023-7205 .- 1652-7518. ; 94:49, s. 4612-4, 4617
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Tidskriftsartikel (refereegranskat)abstract
- Of 374 unselected primary care patients assessed with the Hospital Anxiety and Depression (HAD) scale, 11.8 per cent rated themselves as suffering from anxiety, and 3.7 per cent as depressed. Clinically, 8 per cent were diagnosed as cases of anxiety, and 4 per cent as cases of depression, but agreement was very poor between these cases and those elicited with the HAD scale, only 25 per cent of the latter being identified by the primary care physicians. One third of the patients with a clinical diagnosis of anxiety and 47 per cent of those with diagnosed depression were offered appropriate treatment, usually medication with a selective serotonin re-uptake inhibitor (SSRI) and consultation with a medical social worker. The results were consistent with the expected prevalences, thus indicating anxiety and depression to be markedly under-diagnosed and under-treated, and suggest that there is a manifest need of consultation facilities and of further education among primary care physicians.
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| 48. |
- Broliden, K, et al.
(författare)
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[Parvovirus B19 infection--an insidious chameleon].
- 1999
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Ingår i: Läkartidningen. - 0023-7205 .- 1652-7518. ; 96:46
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Tidskriftsartikel (refereegranskat)abstract
- Parvovirus B19 is a common source of infection with a seroprevalence of 60-70 per cent in the adult population. The most common manifestation is erythema infectiosum ('fifth disease'), with exanthem, fever and upper airway symptoms in children. The infection can give rise to a multifacetted clinical picture and is probably underdiagnosed, particularly in risk groups (individuals with haemolytic anaemia or immunosuppression, and fetuses). Serological diagnosis can now be complemented with the demonstration of viral DNA using the PCR (polymerase chain reaction) test in various body fluids, or tissue biopsy. Recent years have witnessed manifest increase in clinical knowledge of parvovirus B19-associated complications, and their diagnosis and treatment.
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