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Search Results: 1 - 10 of 340 matches for " Hanne Haukland Husum "
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Accuracy of Helicobacter pylori serology in two peptic ulcer populations and in healthy controls
Rolv-Ole Lindsetmo, Roar Johnsen, Tor Jac Eide, Tore Gutteberg, Hanne Haukland Husum, Arthur Revhaug
World Journal of Gastroenterology , 2008,
Abstract: AIM: To estimate the test characteristics of Helicobacter pylori (H pylori) serology and of C14-urea breath test (C14-UBT) in two different peptic ulcer populations and in community controls. Second, the aim was to explore the association between the level of H pylori IgG antibodies and severity of inflammation as to active peptic ulceration in the same populations.METHODS: Vagotomized (n = 83), medically treated peptic ulcer patients (n = 73) and one reference group of community controls (n = 88) were gastroscoped. H pylori status was determined by histology, bacterial growth, C14-UBT and serology. Based on the updated Sydney System, cumulative scores from biopsies from the prepyloruos, incisura angularis, corpus and fundus were calculated.RESULTS: The prevalence of H pylori infection varied from 70% to 79%. The C14-UBT had high accuracy compared to the serology test. The sensitivity of the serology test was good, but the specificity was low (41%-71%). The association between H pylori IgG antibodies and scores of gastric mucosal inflammation and current or previous peptic ulcer were weak.CONCLUSION: The accuracy of C14-UBT to diagnose H pylori infection was good, and the clinical utility of a negative H pylori serology test was substantial, while the gain in clinical information of a positive test was meagre. Positive H pylori titres could not distinguish between subjects with or those without active peptic ulceration.
Low Sensitivity of the Formol-Ethyl Acetate Sedimentation Concentration Technique in Low-Intensity Schistosoma japonicum Infections
Tore Lier ,Gunnar S. Simonsen,Tianping Wang,Dabing Lu,Hanne H. Haukland,Birgitte J. Vennervald,Maria V. Johansen
PLOS Neglected Tropical Diseases , 2009, DOI: 10.1371/journal.pntd.0000386
Abstract: Background The endemic countries are in a diagnostic dilemma concerning Schistosoma japonicum with increasing difficulties in diagnosing the infected individuals. The formol-ethyl acetate sedimentation concentration technique is preferred by many clinical microbiology laboratories for the detection of parasites in stool samples. It is potentially more sensitive than the diagnostic methods traditionally used. Methodology/Principal Findings We evaluated the technique for detection of low-intensity S. japonicum infections in 106 stool samples from China and used a commercial kit, Parasep Midi Faecal Parasite Concentrator. One stool sample and one serum sample were collected from each person. As reference standard we used persons positive by indirect hemagglutination in serum and positive by Kato-Katz thick smear microscopy (three slides from a single stool), and/or the hatching test. We found the sedimentation technique to have a sensitivity of only 28.6% and specificity of 97.4%. Conclusion/Significance This study indicates that the sedimentation technique has little to offer in the diagnosis of low-intensity S. japonicum infections, at least when only a single stool sample is examined.
Prehospital trauma care reduces mortality. Ten-year results from a time-cohort and trauma audit study in Iraq
Mudhafar K Murad, Stig Larsen, Hans Husum
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine , 2012, DOI: 10.1186/1757-7241-20-13
Abstract: In the study period from 1997 to 2006, 2,788 patients injured by land mines, war, and traffic accidents were managed by a chain-of-survival trauma system where non-graduate paramedics were the key care providers. The study was conducted with a time-period cohort design.37% of the study patients had serious injuries with Injury Severity Score ≥ 9. The mean prehospital transport time was 2.5 hours (95% CI 1.9 - 3.2). During the ten-year study period trauma mortality was reduced from 17% (95% CI 15 -19) to 4% (95% CI 3.5 - 5), survival especially improving in major trauma victims. In most patients with airway problems, in chest injured, and in patients with external hemorrhage, simple life support measures were sufficient to improve physiological severity indicators.In case of long prehospital transit times simple life support measures by paramedics and lay first responders reduce trauma mortality in major injuries. Delegating life-saving skills to paramedics and lay people is a key factor for efficient prehospital trauma systems in low-resource communities.The epidemic of trauma is accelerating. Injury is now the fourth leading cause of global deaths, and up to 2030 WHO estimates a further 40% increase in trauma fatalities. Almost 90% of injury deaths occur in low- and middle-income countries [1]. Who is to manage this heavy load of trauma - in disastrous events as well as chronic emergencies like the land mine epidemic? Studies of Western trauma scenarios consistently report that reduced prehospital transport times and level I trauma centers and are the essential components of a good trauma system [2]. However, helicopter evacuations and high-cost surgical centers are not feasible in low-income societies and in countries where the social fabric is broken by war. In our time, local wars and natural disasters especially hit low-resource communities and here the "scoop-and run-for-the hospital" strategy hardly fits. There is thus an urgent need to develop trauma system
Leptomeningeal carcinomatosis from renal cell cancer: treatment attempt with radiation and sunitinib (case report)
Astrid Dalhaug, Ellinor Haukland, Carsten Nieder
World Journal of Surgical Oncology , 2010, DOI: 10.1186/1477-7819-8-36
Abstract: Brain metastases from renal cell carcinoma might develop many years after primary nephrectomy and continue to represent a formidable challenge [1]. With increasing numbers of local and systemic treatment options, the issue of patient selection gains importance. While surgery and stereotactic radiosurgery (SRS) provide long-term local control of macroscopic disease, development of new central nervous system lesions can often be observed. Some patients might even present with leptomeningeal carcinomatosis or so called neoplastic meningitis (NM). Only few cases of NM from renal cell carcinoma treated with contemporary systemic approaches have been reported [2,3]. Therefore, the present case illustrates important aspects around potential treatment options.A 72-year-old male presented to his family doctor with a 3 week history of headache and dizziness. His medical history was unremarkable except for left-sided nephrectomy for clear cell renal cell cancer stage T2 N0 M0 8 years earlier. Diagnostic imaging with brain computed tomography (CT) scan followed by magnetic resonance imaging (MRI) revealed a 3 cm large contrast-enhancing infratentorial tumor (Figure 1). No additional brain lesions were detected. CT of chest and abdomen revealed 2 small lung nodules (one left-sided, one right-sided) and enlarged mediastinal lymph nodes (Figure 2). Neurosurgical resection of the intracranial tumor confirmed metastasis from clear cell carcinoma. Neither postoperative radiotherapy nor systemic treatment was recommended at this time. Surveillance CT scans showed very slow enlargement of the lung and lymph node metastases during the next year. Seventeen months after resection of the cerebellar metastasis, local recurrence was detected. The patient was treated with gamma knife SRS (peripheral dose 21 Gy). Six months later, a single new brain metastasis was found (8 mm large, left occipital lobe), which also was treated with SRS. Seven months after the second SRS procedure, a third one
Patient participation in relation to life style changes—A literature review  [PDF]
Hanne Konradsen, Hanne Troest Nielsen, Marianne Thrane Larsen, Carrinna Hansen
Open Journal of Nursing (OJN) , 2012, DOI: 10.4236/ojn.2012.22005
Abstract: The objective of this literature review was to identify and examine research where Patient Participation was used as a part of intervention targeting general life style among patients who comes in contact with a nurse. A literature search were conducted and included papers where judged by the researcher using recommendation from The Danish Centre for Clinical Guidelines. Analysis of the papers was carried out using Per?kyl? and Ruusuvauoris five components of Patient Participation as a theoretical template. It was concluded that the clinical effects of Patient Participation still needs to be clarified.
Neuropsychologic Testing in Chiasmal Patients Exhibiting Inattention in the Temporal Visual Space during Monocular Visual Testing  [PDF]
Hans C. Fledelius, Hanne Udesen
Open Journal of Ophthalmology (OJOph) , 2017, DOI: 10.4236/ojoph.2017.71004
Abstract: Objective: By means of neuropsychologic tests, to further analyse a specific chiasmal monocular visual testing behaviour, here labelled temporal blocking because of the elective ignorance of optotypes on the temporal side of the chart. Often it is combined with impairment of reading and other cognitive impairments. Methods: Eighteen patients with lesions to the chiasm and some degree of temporal blocking aged 24 - 76 years underwent: 1) tests for visual neglect (Gothenburg test; behavioural inattention tests: star cancellation; line bisection); 2) visuo-perceptual tests; and 3) a test involving reading a crowded ten-letter and cipher bar. Results: The temporal blocking in two patients recovered after emergency neurosurgery and their results were normal when subsequently tested. Of the 16 patients with deficiencies, 14 had a poorer left eye (p < 0.01). Conclusions: The best neuropsychologic tests appeared to be those for visual neglect and the crowded bar test. In most cases, the right cerebral hemisphere’s lack of some crossed information from the left eye, usually needed for normative saccades and adjustment to visual space, may be a factor underlying the specific visual behaviour.
"Stakkars pappa" – hva kan far-barn-relasjonen si oss om barnerollen?
Kiil, Hanne
Barnboken : Tidskrift f?r Barnlitteraturforskning , 2011,
Abstract: “Poor daddy”–child's perspective and iconotext in three award-winning picture books. The Western dichotomy between children and adults characterize our opinion both on children and childhood. In this understanding framework the children are seen as something totally different from adults. Can artistic children's literature modify this habitual thinking about such hierarchical levels? The three books to examine closer have all won awards from Ministry of Culture as the best Norwegian picture book that year. Both Svein Nyhus: Pappa [Daddy] (1998), Hans Sande and Gry Moursund: Arkimedes og br dskiva [Archimedes and the Sandwich] (2000) and Stein Erik Lunde and yvind Torseter: Eg kan ikkje sove no [I Can't Sleep Now] (2008) are first-person narratives where the main character is a child. In such picture books visual and verbal point of view rarely are the same. The illustrations usually observe the central character from a distance and then allow the reader not only to adopt the narrator's point of view. What kind of ambiguities in the complex relationship between text and images give signals to the readers–and to the understanding of the narrator's position and perspective? What can this perspective and the iconotext in the three books tell us about today's children's role?
The quiet organization - why a common language does not always create a linguistic community
Hanne Tange
Language at Work : Bridging Theory and Practice , 2012,
Abstract: Imagine an office environment in an international company in Denmark. Around you employees are going about their daily routines. They write e-mails while chatting to their neighbours, exchange a few comments on their way to the photocopier, and gather in the break to discuss their boss, holiday plans or news on a joint project. Try then to imagine the same space, only without the noise: A work environment where employees perform their duties quietly and most of the chit-chat has disappeared. This is the situation in many organizations that have adopted English as their corporate language.
Tanker om tid og rum - eller det spatio-temporale univers
Hanne Brande
Geoforum Perspektiv , 2006,
Conceptual Development and Dynamic Realism
Hanne Andersen
Studia Philosophica Estonica , 2012,
Abstract: This paper focuses on Thomas S. Kuhn's work on taxonomic concepts and how it relates to empirical work from the cognitive sciences on categorization and conceptual development. I shall first review the basic features of Kuhn's family resemblance account and compare to work from the cognitive sciences. I shall then show how Kuhn's account can be extended to cover the development of new taxonomies in science, and I shall illustrate by a detailed case study that Kuhn himself mentioned only briefly in his own work, namely the discovery of X-rays and radioactivity.
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