SEARCH · PubMed Health

Results for “Denmark”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 577 records · Page 32Linked to original sources

PubMed1993

[Fertilization in vitro. A review over the medical indications and suggestion to unified guidelines for public fertility clinics in Denmark].

Medical indications for in vitro fertilization and embryo transfer (IVF-ET) internationally and in Denmark are reviewed. Reports from large international centres document that tubal infertility, unexplained infertility, endometriosis and male infertility are equally good indications for IVF. Traditionally, tubal infertility has been the only medical indication qualifying for IVF treatment within the National Health Service in Denmark. Thus, in this country, couples with unexplained and male infertility and with endometriosis have to pay up to 25,000 D.Kr. per IVF-ET treatment in private fertility clinics. Since there is no scientific basis for this discrimination, it is urged that the present rules are changed, so that couples with unexplained and male infertility and endometriosis are also allowed IVF treatment free of charge in the public fertility clinics.

Denmark↗

PubMed1993

[Increasing asthma mortality in Denmark 1969-1988. Not because of changed coding practices].

We have studied asthma mortality in Denmark from 1969 to 1988. Age standardized mortality rates calculated in three age groups, 10-34, 35-59, and > 60 years, disclosed similar trends. Increasing mortality from asthma in the mid-1970s to 1988 was seen in all three age groups with higher mortality in 1979-1988 as compared with 1969-1978 of 95%, 55%, and 69%, respectively. Since the eighth revision of the International Classification of Diseases (ICD-8) was used in Denmark over the entire 20-year period, changes in coding practice due to change of classification system cannot explain the findings.

Adolescent↗

PubMed1993

[Ultrasonic examination of pregnant women in Denmark 1989-1990].

The objective of the study was to provide an epidemiological description of the use of ultrasound in obstetrics in Denmark. It was performed as a questionnaire study based on hospital records and patient interviews. All Danish hospital departments with delivery services (n = 57) participated in the study which, in total, comprised 2.268 women who gave birth to a child during a two week period in February 1990. The main results of the study are that women with an offer of screening had a significantly higher mean number of obstetric ultrasound examinations during pregnancy (1.8) than women without such an offer (1.3). Of the women without an offer of screening, 45% had an ultrasound examination on indication in the interval of 14-20 weeks of gestation. The study shows great regional variations in the use of ultrasound in obstetrics in Denmark.

Adolescent↗

PubMed1993

[Incidence of myocardial infarction in Denmark. Results from Dan-Monica 1982-1984].

The mortality from ischemic heart disease in Denmark has changed from a steady increase towards a decrease also in younger males during the 1980s. During this period, the Glostrup Population Studies have registered the incidence of myocardial infarction, risk factor changes and changes in medical care in Copenhagen county (320,000 inhabitants) as part of WHO MONICA, which compares 39 centres in 26 countries. The incidence of myocardial infarction during the first three years, 1982-1984, of the Heart Register, DAN-MONICA at Glostrup Hospital, is reported. The register is complete and valid. If the age specific incidence of myocardial infarction in Denmark was as in this survey, the results indicate an age standardized incidence for the Danish population including all age groups over the age of 25 of 5.58 per 1000 per year (7.48 per 1000 adult males and 3.99 per 1000 adult females).

Adult↗

PubMed1993

[Primary hyperparathyroidism. An underdiagnosed disease in Denmark?].

Population-based investigations measuring serum calcium levels seem to indicate a prevalence of primary hyperparathyroidism (pHPT) of 0.4-1% in adults with a figure of about 3% in women over 60 years of age. Annual incidence rate varies and is found to be about 25-30 new cases per 100,000 adults with routine use of serum calcium measurements in diagnostic work-up. In women over 60 years of age the incidence approaches 200 instances per 100,000 individuals. Autopsy studies have demonstrated parathyroid disease in about 10%, one third as solitary adenomas and two thirds as hyperplasia. Annual incidence of surgical interventions, however, is currently found to be low with a frequency of about 2 instances per 100,000 inhabitants in Denmark, but with somewhat higher figures in Sweden and Finland. Recently, the preoperative diagnosis of pHPT has been considerably simplified and requires in most cases solely the demonstration of sustained raised serum calcium levels associated with elevated serum concentration of intact PTH. Investigations indicate that pHPT is underdiagnosed in Denmark, and indications for surgical treatment appear to be restrictive. Compared with Swedish operation series the weight of parathyroid adenomas in Danish series is found to be 3 times higher and the mass of hyperplasia 9 times higher consistent with significantly more elevated serum calcium concentrations. Arguments are presented in favour of an increased interest in diagnosing pHPT and a more liberal approach in the selection of patients for surgical treatment of mild or even asymptomatic disease. Routine measurement of serum calcium concentration in blood samples from patients might be considered in order to increase the incidence rate.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

PubMed1993

[Acoustic neurinomas in Denmark. Incidence and therapeutic strategies].

The annual incidence of diagnosed acoustic neurinomas in Denmark during two 7-year-periods from mid 1976 to mid 1990 is compared. Data on all patients operated via the translabyrinthine, transtemporal and suboccipital approach, as well as data on non-operated patients, was collected from the entire country. During the first period, from June 1976 to June 1983, the incidence was 7.8 tumors per million per year. During the second period, from June 1983 to June 1990, the annual incidence rose to 9.4 tumors per million per year. The number of newly-diagnosed small tumors increased, and that of large tumors decreased. A significant increase was observed in Copenhagen. An incidence of 11 to 12 tumors per million per year, or nearly 60 newly-diagnosed tumors per year is thus expected around the year 2000. This limited number supports the continuation of the present centralized model of acoustic neurinoma surgery in Denmark.

Adult↗

PubMed1977

Health care and hospital pharmacy in Denmark.

Health services and community and hospital pharmacy practice in Denmark are discussed. Topics covered include the education and training of pharmacists and technicians, pharmaceutical manufacturing by community and hospital pharmacies, hospital drug distribution, and drug information services. Pharmacy is unique in Denmark inthe 40% of the drug products on the market are manufactured by pharmacies, under the auspicies of the pharmacy proprietors' association. As in other Scandinavian countries, the number and location of community pharmacies are controlled by the state. Ninety pharmacists are employed in 13 hospital pharmacies; half of the pharmacists are occupied bb drug product manufacturing.

Delivery of Health Care↗

PubMedDate not supplied

Safety in chiropractic practice, Part I; The occurrence of cerebrovascular accidents after manipulation to the neck in Denmark from 1978-1988.

BACKGROUND: Problems in ascertaining cases and in determining the total number of treatments have made it difficult to establish the rate of cerebrovascular accidents (CVA) after spinal manipulative therapy. OBJECTIVES: To estimate the occurrence of cerebrovascular accidents after chiropractic treatment to the cervical spine. DESIGN: Information was sought on cases of CVA in Denmark during the period 1978-1988 inclusive, through several sources and through a survey of the Danish Chiropractors' Association. Information was sought also on proportion of consultations consisting of cervical treatment and preferred type of therapy. The incidence rate of CVA was calculated for several denominators. PARTICIPANTS: Targeted sample in survey 1: all 226 practicing members of the Danish Chiropractors' Association in 1989 [i.e., 99% of the chiropractors in Denmark at that time (response rate 54%)]. In survey 2, a random sample of 40 chiropractors (response rate 72.5%) was used. OUTCOME MEASURES: The number of CVAs in relation to the number of chiropractor-years, number of consultations, consultations including neck treatment, upper and lower neck treatment, and type of technique used. MAIN RESULTS: Five cases of CVA were identified; one resulted in death and the others in permanent neurological sequelae of varying severity. One case of CVA appeared for every estimated 1.3 million cervical treatment sessions and 1 for every 0.9 million upper cervical treatment sessions. Rotation techniques were over-represented in relation to their estimated frequency of use. CONCLUSION: Although the incidence of CVA after chiropractic SMT was confirmed to be low, there seems to be sufficient evidence to justify a firm policy statement cautioning against upper cervical rotation as a technique of first choice.

Adolescent↗

PubMed1996

First record of Giardia in cattle in Denmark.

Faecal samples from asymptomatic dairy cows and calves from a farm on the Island Falster, Denmark, were examined by a sucrose gradient flotation technique. Giardia cysts were found in 7.6% of the 92 samples, and estimated cyst excretion rates ranged from 50-200 cysts per gram faeces. Given that Giardia has the potential to cause clinical disease in cattle and to be transmitted to other animal species and humans, finding the parasite in cattle may be of major epidemiological significance. Future work should focus on elucidating the pathogenicity, transmission patterns and the genetic structure of Giardia populations in cattle in Denmark.

Animals↗

PubMed1997

Prenatal diagnosis in Denmark.

Prenatal diagnosis (PND) in Denmark is covered by 5 genetic departments. More than 10% of all pregnancies are monitored by amniocentesis (AC) or chorionic villus sampling (CVS). Prenatal cytogenetic analyses are recorded in the Danish Central Cytogenetic Register (DCCR), which provides information on individual cases for genetic counselling and allows the Health Authorities to monitor prenatal diagnosis (PND). About 40% of trisomy 21 is diagnosed prenatally. The present procedures are AC, CVS, chordocentesis, and ultrasound scan. The methods include a wide range of cytogenetic, molecular, and biochemical analyses. Fluorescent in situ hybridisation, comparative genomic hybridisation, and fetal cells in maternal blood are currently investigated. PND is a public health service; the expenses are covered by the counties. The National Board of Health provides guidelines for indications for PND, while termination of pregnancy because of abnormal findings after the 12th week is evaluated on an individual basis. The current legislation prevents pre-implantation diagnosis. This year, clinical genetics was registered as a speciality in Denmark.

Denmark↗

PubMed1997

[Hospital rehabilitation of patients with severe traumatic brain injury. I: Current status and organization in Denmark and abroad].

New in-patient rehabilitation methods for the treatment of patients with severe traumatic brain injury have been introduced in recent years. These methods are primarily characterized by very early start of rehabilitation, by being organized, specialized and intensive, and by a multidisciplinary approach. The article gives a general description of the present in-patient rehabilitation in Denmark, and outlines the principles of new models introduced internationally. In conclusion, the in-patient rehabilitation offered in Denmark to patients with severe traumatic brain injury is characterized by a lack in the general planning and organization of this service, and by being non-specialized, non-intensive, and initiated at a late stage.

Brain Injuries↗

PubMed1997

[Development in mortality, incidence and lethality of ischemic heart disease in Denmark 1982-1992].

In Denmark, as in many other Western countries, a decline in mortality from ischaemic heart disease (IHD) has been observed. The present study assesses whether the decline in IHD mortality is due to a decrease in incidence and/or case-fatality, and whether parallel changes occurred in the various manifestations of IHD requiring hospitalization. The National Patient Register of hospital discharges and the Causes-of-Death Register were linked and all cases of first admission for IHD including acute myocardial infarction (AMI) and fatal first manifestation of IHD since 1977 in the entire Danish population were identified. Cases of AMI and IHD were considered as incident cases if no admission for these diagnoses had occurred during the preceding five years for the same person. Sex-specific, age-standardized annual mortality, incidence and case-fatality rates of AMI (ICD8 code 410), narrowly defined IHD (NIHD, ICD8 codes 410-4) and broadly defined IHD (BIHD, ICD8 codes 410-4, 427 & 795-6) were calculated for the period 1982 through 1992. During the entire period the age-standardized mortality of AMI, NIHD and BIHD decreased in both men and women. The incidence of AMI and NIHD decreased, while the incidence of BIHD remained constant. Case-fatality of AMI decreased in both men and women, while case-fatality of NIHD and BIHD decreased in men and in women aged 0-64 years only. The declining mortality from IHD in Denmark may be partly due to declining incidence as well as declining case-fatality, but changes in disease manifestation or a diagnostic drift may also contribute, since more broadly defined diagnostic groups showed less or no decline in incidence.

Adult↗

PubMed1998

[Traumatology. Centralized trauma treatment in Denmark].

This review article highlights the prerequisites and consequences of a possible implementation of trauma systems in Denmark. Denmark is a small densely populated country, with a population of approximately 5 mill. people. Trauma care is de-centralised, and prehospital care is in general minimal, however the transportation time to the nearest hospital is comparably short. The entire population is fully medically insured by the public health insurance. A successful reorganisation of Danish trauma care depends on respect for the present national advantages and internalisation of international experiences. The author recommends a nationally co-ordinated reorganisation in accordance with the guidelines of American College of Surgeons Committee on Trauma.

Centralized Hospital Services↗

PubMed1998

[Penicillin resistant pneumococci--not a threat in Denmark yet?].

The occurrence of penicillin resistance in clinical isolates of pneumococci was investigated in two clinical microbiological laboratories in Copenhagen, Denmark. One of the laboratories predominantly received samples from patients with frequent use of antibiotics mainly because of chronic lung diseases. In this laboratory, 6.3% of 245 isolates of pneumococci had intermediate resistance to penicillin. In the other laboratory, which received samples from a number of hospitals and general practice, only 1.3% of isolates of pneumococci had reduced sensitivity to penicillin. Penicillin-resistant pneumococci are rare in Denmark, but are more prevalent in patients who frequently use antibiotics.

Adult↗

PubMed1998

[Consultations in ophthalmological practice. A multi-practice study of referrals to private ophthalmologists in Denmark].

In Denmark the GPs act as gatekeepers for secondary health care services except for ophthalmologists and ear-nose-throat specialists. The aim of this study was to describe consultations and referral patterns to ophthalmologists in private practice in Denmark. Forty-four out of 143 practising ophthalmologists agreed to fill out a short questionnaire on a random sample of their patients. They recorded 1844 consultations. Forty percent of contacts were appointments arranged by the ophthalmologist, 35% were self-referred, 13% were referred by their GP and 12% by others. Cataract, glaucoma and refraction anomalies accounted for 51% of all diagnoses. The distribution of reasons for encounter and diagnoses among self-referred patients and patients referred by their GP does not argue in favour of a change from the present system with free self-referral to a system with gatekeeping by GPs.

Denmark↗

PubMed1998

A halt in the secular trend towards earlier menarche in Denmark.

BACKGROUND: A halt in the decrease of menarcheal age has been reported in some countries but has not been documented in Denmark. METHODS: The entire population of schoolgirls, attending grades 5 through 10 (n=979), in a particular region of Denmark was investigated by the status quo method in 1996. Similar investigations had been made in the same region and by the same method in 1966 and 1983. Mean age and standard deviation were estimated by probit analysis. RESULT: Mean age was 13.00 years (s.e.=0.080; s.d. = 1.15) and almost identical with the mean age in 1983 (13.03 years), but significantly different from the mean age in 1966 (13.40 years). CONCLUSION: The results indicate a halt in the secular trend towards earlier menarche in the region at some time between 1966 and 1983.

Adolescent↗

PubMed1998

Tuberculosis in a cohort of Vietnamese refugees after arrival in Denmark 1979-1982.

SETTING: Department of Infectious Diseases, Rigshospitalet, Copenhagen, Denmark. OBJECTIVE: To study the occurrence of tuberculosis (TB) in a cohort of immigrants from a high incidence country during the years following arrival in a low incidence country. DESIGN: Follow-up analysis in a cohort of 1983 Vietnamese refugees who arrived in Denmark during the period 1979-1982. The civil registration number could be identified for 1936 (98%) individuals from the original cohort. Date of possible death, emigration and the development of tuberculosis were determined by checking the refugees' civil registration number in the National Civil Register and the National Infectious Disease Registry for Tuberculosis. RESULTS: Tuberculosis notification for the 1936 individuals fell from 1.14% for the first 12 months to a mean of 0.08% per year during the following 5-year period. During the 16 years of follow up, 36 of the refugees developed tuberculosis, of whom 14 (39%) had had abnormal chest X-ray on arrival and 14 (39%) (including one with normal chest X-ray) had been identified as having active tuberculosis through screening on arrival. CONCLUSION: Decline in tuberculosis incidence for immigrants is very rapid if the tuberculosis infection rate is low following arrival. With a very limited TB screening programme (chest X-ray on arrival) and a passive diagnosis policy without preventive chemotherapy, it is possible to control tuberculosis among high prevalence immigrants in a low incidence country.

Adult↗

PubMed1998

[Denmark's first research facility in palliative medicine. Organization and research strategy].

Denmark's first palliative medicine research unit is now being set up at Bispebjerg Hospital, with single-room and two double-room ward. The multidisciplinary team consists of doctors, a psychologist, nurses, a physiotherapist, an ergotherapist, a medical social worker, a priest and a dietician. An out-patient facility is also being established to enable patients to choose between hospitalisation out-patient treatment or home treatment by appropriate staff. Another aspect of palliative medicine is care of the patient's family members. The intervention offered at our facility is led by a psychologist, and consists primarily of counselling. With its limited clinical opacity, the department of palliative medicine is first and foremost a research and development facility. The first chair in palliative medicine in Denmark was conferred upon the department in 1998.

Denmark↗