2,468 results match your criteria: "Danish National University Hospital "Rigshospitalet"[Affiliation]"

Clinicians' attitudes towards supplemental oxygen for trauma patients - A survey.

Injury

January 2025

Department of Anaesthesia, Centre of Head and Orthopaedics, Rigshospitalet, University of Copenhagen, Inge Lehmanns Vej 6, 2100 Copenhagen, Denmark; Danish Air Ambulance, Brendstrupgårdsvej 7, 8200 Aarhus N, Denmark; Institute of Clinical Medicine, University of Copenhagen, Blegdamsvej 3B, 2200 Copenhagen, Denmark; Faculty of Health, Aarhus University, Vennelyst Blvd. 4, 8000 Aarhus, Denmark. Electronic address:

Article Synopsis
  • - The ATLS (2018) guidelines recommend providing supplemental oxygen to all severely injured trauma patients to prevent low blood oxygen levels, but this practice may risk causing excessive oxygen levels, which could lead to increased mortality and complications.
  • - A survey of 707 clinicians, predominantly from Denmark and mostly physicians, revealed that 73% do not believe supplemental oxygen should be given universally to severely injured trauma patients without considering their oxygen saturation levels.
  • - Respondents indicated that the average initial oxygen dosage for trauma patients with normal oxygen saturation was 0 liters per minute, with 58% choosing not to give supplemental oxygen at all, and the lowest acceptable oxygen saturation target was 94%.
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  • This study focused on training a deep learning model to help doctors identify important areas in breast cancer patients that need treatment.
  • It used expert opinions from radiotherapy centers in Denmark to create high-quality data for training the model.
  • The results showed that the model's performance was very similar to what experienced doctors would achieve, which means it could be used safely in real medical situations.
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Background And Purpose: Previous studies have reported conflicting results regarding the association between influenza vaccination and dementia. This association was investigated in a nationwide register-based cohort study.

Methods: Using nationwide registries, dementia-free adults aged ≥65 years in Denmark from 2002 to 2018 without previous influenza vaccinations were included.

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Background: Gastric and gastroesophageal junction (GEJ) cancer represents a significant global health challenge, with high recurrence rates and poor survival outcomes. This study investigates circulating tumor DNA (ctDNA) as a biomarker for assessing recurrence risk in patients with resectable gastric and GEJ adenocarcinomas (AC).

Methods: Patients with resectable gastric and GEJ AC, undergoing perioperative chemotherapy and surgery, were prospectively enrolled.

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Goals: We aimed to evaluate the Danish CRC screening program, estimate colonic neoplasia's prevalence, and assess the utilized BP regimens.

Background: People with cystic fibrosis (pwCF) have an increased risk of precancerous polyps and colorectal cancer (CRC), with occurrence at an earlier age compared with the general population. Consequently, colonoscopy screening is recommended.

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  • The study investigates the risk factors and comorbidities related to trigeminal neuralgia, a painful condition affecting facial nerves, highlighting its higher prevalence in women.
  • Utilizing data from 7.2 million individuals in Denmark from 1994 to 2018, researchers compared those with trigeminal neuralgia against 10,000 controls to find associated diseases, revealing 27 potential comorbidities linked with the condition.
  • It was found that treatment with carbamazepine or oxcarbazepine heightened the risk of ischemic stroke, indicating that healthcare providers should assess vascular risks in patients diagnosed with trigeminal neuralgia.
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Background: Respiratory syncytial virus (RSV) is the most common cause of hospitalisation in infants aged ≤ 6 months in Western countries. Nearly 1,500 infants under six months of age are hospitalised with RSV annually in Denmark. This nationwide study describes the healthcare resource utilisation and costs related to RSV hospitalisation in this vulnerable age group.

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  • * It found that carbohydrate-dense diets were linked to increased insulin resistance, while vegetable-rich or vegetable-poor diets did not show any significant relationship with insulin resistance or beta-cell function.
  • * The research suggests that further exploration is needed to understand why vegetable consumption doesn't affect glucose metabolism in this population, regardless of HIV status.
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Objective: Human papillomavirus (HPV) testing is the recommended primary screening method against cervical cancer. Denmark started implementing HPV testing as a primary screening method in 2021, but no national data are yet available. We report the results of the first and second screening rounds in a large Danish pilot implementation study.

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  • This study evaluated the effectiveness, safety, and tolerability of a new subcutaneous EEG device (sqEEG) for monitoring epilepsy in patients with drug-resistant focal seizures.
  • In the first phase, the sqEEG was able to detect all seizures in patients when compared to traditional scalp EEG, though the semi-automated detection had varying success across patients.
  • In the outpatient phase, concordance between the two detection methods was high for some patients, but others showed discrepancies, and treatment adjustments were often ineffective, with only one patient experiencing a minor side effect (an infection).
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  • Bacteremia (SAB) is a serious condition that can lead to high rates of illness and death, especially in patients with cardiac implantable electronic devices (CIEDs), prompting researchers to study its incidence in first-time CIED carriers in Denmark over a 10-year period.
  • The study involved 87,257 patients from a national registry who had their first CIED implanted from 2000 to 2020, with a focus on identifying the occurrence of SAB after the procedure and understanding risk factors that contribute to it.
  • Results showed that 1.6% of patients developed SAB, with higher risks associated with specific device types and factors such as hemodialysis, previous SAB, liver disease, and demographic
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Antibody response to SARS-CoV-2 mRNA vaccination in Danish adults exposed to perfluoroalkyl substances (PFASs): The ENFORCE study.

Environ Res

December 2024

Research Unit of Clinical Pharmacology, Pharmacy and Environmental Medicine, University of Southern Denmark, Odense, Denmark; Department of Biomedical and Pharmaceutical Sciences, University of Rhode Island, Kingston, RI, United States. Electronic address:

Introduction: Per- and polyfluoroalkyl substances (PFASs) have immunotoxic effects in children while studies in adults, including recent studies on the SARS-CoV-2 vaccine response have been less consistent. In a cohort of 50-69-year-olds repeatedly vaccinated against COVID-19 in Denmark from early 2021, we aimed to assess the association between serum-PFAS concentrations and SARS-CoV-2 antibody responses.

Methods: We assessed serum-PFAS concentrations among 371 middle-aged adults from the National Cohort Study of Effectiveness and Safety of SARS-CoV-2 vaccines (ENFORCE) who had received their first vaccination against COVID-19.

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Background: Migraine presents significant health and economic challenges. Despite the widespread use of triptans, some patients discontinue them because of insufficient relief or adverse effects. Using national registers, the present study investigates the excess costs and labour market disaffiliation of Danish patients discontinuing triptan treatment.

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Purpose: The increasing use of advanced medical technologies to detect adverse events, for instance, artificial intelligence-assisted technologies, has shown promise in improving various aspects within health care but may also come with substantial expenses. Therefore, understanding the potential economic benefits can guide decision-making processes regarding implementation. We aimed to estimate the potential cost savings associated with reducing length of stay and avoiding readmissions within the framework of an artificial intelligence-assisted vital signs monitoring system.

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Introduction: Patients with lumbar spinal stenosis may have poor balance, decreased physical function and problems maintaining physical activity levels due to radiculopathy. Decompressive surgery is often indicated if conservative management fails to achieve a satisfactory clinical outcome. While surgical management has proven effective at treating radiculopathy, and patients report increased physical function postoperatively, objective measures of postural control and physical activity remain sparse.

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  • BDUC is a difficult-to-diagnose bleeding disorder mostly affecting women, and this study explores its connection to hypermobility disorders and vitamin C levels.
  • The study included 60 patients with BDUC, finding a significant prevalence of hypermobility traits and hyperextensible skin compared to healthy controls, along with some diagnosed with hypermobile Ehlers-Danlos syndrome.
  • Results indicated that while patients had adequate vitamin C levels, they were still lower than those in healthy controls, suggesting a potential area for further research on vitamin C supplementation for BDUC patients.
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The differential diagnosis of suspected multiple sclerosis has been developed using data from North America, northern Europe, and Australasia, with a focus on White populations. People from minority ethnic and racial backgrounds in regions where prevalence of multiple sclerosis is high are more often negatively affected by social determinants of health, compared with White people in these regions. A better understanding of changing demographics, the clinical characteristics of people from minority ethnic or racial backgrounds, and the social challenges they face might facilitate equitable clinical approaches when considering a diagnosis of multiple sclerosis.

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  • The study aimed to explore whether certain genetic variants (SNPs) related to taxane chemotherapy affect breast cancer patients' need for social benefits after treatment.
  • Researchers analyzed data from premenopausal women diagnosed with breast cancer, focusing on their receipt of health and labor market-related benefits over a five-year period.
  • The findings indicated that there was no significant link between the selected SNPs and the likelihood of receiving social benefits post-chemotherapy.
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3D whole body preclinical micro-CT database of subcutaneous tumors in mice with annotations from 3 annotators.

Sci Data

September 2024

Department of Clinical Physiology and Nuclear Medicine & Cluster for Molecular Imaging, Copenhagen University Hospital - Rigshospitalet & Department of Biomedical Sciences, University of Copenhagen, Copenhagen, Denmark.

A pivotal animal model for development of anticancer molecules is mice with subcutaneous tumors, grown by injection of xenografted tumor cells, where micro-Computed Tomography (µCT) of the mice is used to analyze the efficacy of the anticancer molecule. Manual delineation of the tumor region is necessary for the analysis, which is time-consuming and inconsistent, highlighting the need for automatic segmentation (AS) tools. This study introduces a preclinical µCT database, comprising 452 whole-body scans from 223 individual mice with subcutaneous tumors, spanning ten diverse µCT datasets conducted between 2014 and 2020 on a preclinical PET/CT scanner, making it the hitherto largest dataset of its kind.

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Objective: To compare all licensed drug interventions as oral monotherapy for the acute treatment of migraine episodes in adults.

Design: Systematic review and network meta-analysis.

Data Sources: Cochrane Central Register of Controlled Trials, Medline, Embase, ClinicalTrials.

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  • - The publication aims to enhance the International Test Commission's guidelines by providing tailored recommendations specifically for translating and adapting neuropsychological tests, addressing the unique cognitive processes involved.
  • - A working group from the International Neuropsychological Society developed these guidelines based on a collaboration among international experts, pulling insights from existing literature and practical experiences in the field.
  • - The proposed guidelines are crucial for ensuring that translated neuropsychological tests are reliable and valid, thus supporting the growing demand for quality assessments in the rapidly expanding field of neuropsychology.
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  • Atrial fibrillation (AF) is a common heart condition causing irregular heartbeats, which increases risks for strokes and heart failure, and can negatively affect quality of life.
  • The study aims to evaluate the benefits and potential drawbacks of exercise-based cardiac rehabilitation (ExCR) compared to non-exercise methods for individuals with AF or those who have received treatment for it.
  • Researchers conducted a thorough search for randomized clinical trials assessing ExCR interventions, ensuring include participants over 18 with any subtype of AF, and analyzed data to determine the effectiveness and reliability of the evidence gathered.
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Introduction: Neovascular age-related macular degeneration (nAMD) is the leading cause of irreversible vision loss in developed countries. However, a significant gap persists in understanding this population, exacerbated by their advanced age and visual impairments, which can hinder research participation and access to healthcare. The purpose of this study was to describe the content of the questionnaire and the participating patients with nAMD.

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Background: Phenotype classification contributes to risk assessment of asthma. Previous studies have applied this concept primarily to adult populations and in the setting of research protocol assessments which may not be applicable to clinical settings.

Objective: Exploring the value of routinely collected clinical data for phenotype classification and risk assessment of childhood asthma.

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Importance: While the typical onset of multiple sclerosis (MS) occurs in early adulthood, 2% to 10% of cases initially present prior to age 18 years, and approximately 5% after age 50 years. Guidance on approaches to differential diagnosis in suspected MS specific to these 2 age groups is needed.

Observations: There are unique biological factors in children younger than 18 years and in adults older than age 50 years compared to typical adult-onset MS.

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