Læknablađiđ
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Comparative Study
[Comparison of video-assisted thoracoscopic surgery and limited axillary thoracotomy for spontaneous pneumothorax].
Historically, surgery for SP has been performed with open thoracotomy. Today video-assisted thoracoscopic surgery (VATS) has replaced open surgery for SP in most centers. Long-term results (i.e. recurrent pneumothorax) following VATS have been debated. In Iceland surgery for SP has been performed with both VATS and limited axillary thoracotomy (LAT). The aim of this study was to compare these two approaches, especially reoperations for prolonged airleakage and late recurrences. ⋯ Reoperations following VATS for SP are more common compared to open thoracotomy, explained by a higher rate of both late recurrent pneumothoraces and prolonged early postoperative airleakage. Both approaches are safe and major complications are infrequent. Hospital stay is shorter after VATS, however, VATS takes longer and the higher reoperation rate is a shortcoming and is of concern.
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Comparative Study
[The role of alcohol consumption in adolescent emergency room visits at Landspitali University Hospital, Iceland].
The records of the emergency room of Landspitali University Hospital in Iceland provide important information on the prevalence and incidence of various problems. The objective of this research is to evaluate the reliability of data concerning the visits of adolescents under the influence of alcohol. ⋯ The records of Landspitali University Hospital are not a valid source of information on alcohol-related problems among adolescents. About one in ten adolescents in the capital region of Iceland claim to have visited an emergency room because of their own alcohol consumption but hospital records of the presence of alcohol only include about 1/60 of that number.
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To determine the size and main medical and social characteristics of the group of individuals receiving disability benefits in Iceland in December 2005. ⋯ The prevailing trend over the last decade of increasing disability in Iceland has continued. Iceland appears to lag behind the other Nordic countries in the use of vocational rehabilitation and labour marked activation to prevent disability. Ample opportunities to slow down this trend are therefore available by greater emphasis on such measures.
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Although most newborn infants are vigorous at birth, some need to be resuscitated. Therefore, at least one person skilled in neonatal resuscitation should be present at every delivery and appropriate equipment for resuscitation should be available. ⋯ Chest compressions and administration of medications are infrequently needed. This article provides guidelines on neonatal resuscitation, which are mainly based on recently published International Liaison Committee on Resuscitation (ILCOR) guidelines.