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Patient-led treatment with GP support. 患者主导的治疗与全科医生的支持。
IF 1.2 Q2 MEDICINE, GENERAL & INTERNAL
Tidsskrift for Den Norske Laegeforening
Pub Date : 2025-05-07 Print Date: 2025-05-13 DOI: 10.4045/tidsskr.25.0263
Bente Prytz Mjølstad
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引用次数: 0
Post-bariatric hypoglycaemia. Post-bariatric低血糖。
IF 1.2 Q2 MEDICINE, GENERAL & INTERNAL
Tidsskrift for Den Norske Laegeforening
Pub Date : 2025-05-06 Print Date: 2025-05-13 DOI: 10.4045/tidsskr.24.0396
Stephen Hewitt, Dag Hofsø, Elisabeth Qvigstad, Tore Julsrud Berg, Monica Chahal-Kummen, Jon Kristinsson, Tom Mala

Awareness of post-bariatric hypoglycaemia has increased in recent years. The condition appears to be more prevalent than previously estimated, when mild to moderate cases are taken into account. Most patients respond well to dietary adjustments, while a small proportion may require assistance or experience seizures or syncope. Hypoglycaemia is associated with both weight-dependent and weight-independent mechanisms. Key factors include improved insulin sensitivity and increased secretion of incretin hormones such as glucagon-like peptide 1 (GLP-1). The primary goal of treatment is to minimise the postprandial fluctuations in blood glucose and insulin levels. Although certain medications may help to alleviate symptoms, they are rarely used. This clinical overview aims to raise awareness of hypoglycaemia following bariatric surgery and to highlight key considerations for healthcare professionals who encounter these patients.

近年来，人们对减重后低血糖的认识有所提高。如果考虑到轻度至中度病例，这种情况似乎比以前估计的更为普遍。大多数患者对饮食调整反应良好，而一小部分患者可能需要帮助或经历癫痫发作或晕厥。低血糖与体重依赖性和体重非依赖性机制有关。关键因素包括胰岛素敏感性的改善和胰高血糖素样肽1 （GLP-1）等促肠促胰岛素激素分泌的增加。治疗的主要目标是尽量减少餐后血糖和胰岛素水平的波动。虽然某些药物可能有助于缓解症状，但很少使用。本临床综述旨在提高对减肥手术后低血糖的认识，并强调遇到这些患者的医疗保健专业人员的关键注意事项。
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引用次数: 0
Hypertensjonsbehandling i lys av nye internasjonale retningslinjer.
IF 1.2 Q2 MEDICINE, GENERAL & INTERNAL
Tidsskrift for Den Norske Laegeforening
Pub Date : 2025-05-06 Print Date: 2025-05-13 DOI: 10.4045/tidsskr.25.0169
Sverre E Kjeldsen, Bjørn Gjelsvik, Tor Ole Klemsdal
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引用次数: 0
Psychiatry's clarification of expectations. 精神病学对期望的澄清。
IF 1.2 Q2 MEDICINE, GENERAL & INTERNAL
Tidsskrift for Den Norske Laegeforening
Pub Date : 2025-05-06 Print Date: 2025-05-13 DOI: 10.4045/tidsskr.25.0182
Anders Malkomsen, Carl Tollef Solberg
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引用次数: 0
Kostnadseffektivitet må avgjøre behandling.
IF 1.2 Q2 MEDICINE, GENERAL & INTERNAL
Tidsskrift for Den Norske Laegeforening
Pub Date : 2025-05-05 Print Date: 2025-05-13 DOI: 10.4045/tidsskr.25.0175
Audun Brendbekken, Andrea Melberg, Gunnar Douzgos Houge
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引用次数: 0
Rettelse: Herpes simplex-myelitt hos immunkompetent voksen pasient.
IF 1.2 Q2 MEDICINE, GENERAL & INTERNAL
Tidsskrift for Den Norske Laegeforening
Pub Date : 2025-05-05 Print Date: 2025-05-06 DOI: 10.4045/tidsskr.25.0310
Rebecca Jonsson, David Hatfield, Ola Dahlen
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引用次数: 0
Larmen fra tarmen.
IF 1.2 Q2 MEDICINE, GENERAL & INTERNAL
Tidsskrift for Den Norske Laegeforening
Pub Date : 2025-05-01 Print Date: 2025-05-13 DOI: 10.4045/tidsskr.25.0069
Jørgen Valeur, Erlend Hem
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引用次数: 0
Virus' plass på livets tre.
IF 1.2 Q2 MEDICINE, GENERAL & INTERNAL
Tidsskrift for Den Norske Laegeforening
Pub Date : 2025-05-01 Print Date: 2025-05-13 DOI: 10.4045/tidsskr.25.0084
Andreas Christensen
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引用次数: 0
Herpes simplex-myelitt hos immunkompetent voksen pasient.
IF 1.2 Q2 MEDICINE, GENERAL & INTERNAL
Tidsskrift for Den Norske Laegeforening
Pub Date : 2025-04-29 Print Date: 2025-05-13 DOI: 10.4045/tidsskr.24.0427
Rebecca Jonsson, David Hatfield, Ola Dahlen

Background: Herpes simplex-1 virus myelitis is a rare cause of myelitis in immunocompetent adults.

Case presentation: A healthy man in his sixties presented with acute chest pain, dyspnoea and cardiac arrest. Pre-hospital cardiopulmonary resuscitation was performed, and he underwent thrombolysis. Intrahospital he was diagnosed with bilateral pulmonary embolism. Twelve days after hospitalisation he developed acute paralysis of the lower extremities. MR findings were suggestive of myelitis, and herpes simplex-1 virus was identified in the spinal fluid. He was diagnosed with herpes simplex myelitis and treated with intravenous acyclovir for 28 days and methylprednisolone for five days, without resolution of symptoms.

Interpretation: We found no causal relationship between pulmonary embolism and herpes simplex myelitis. Our hypothesis is that the severe stress caused by the initial pulmonary embolism and cardiac arrest triggered reactivation of herpes simplex-1 virus.

背景：单纯疱疹病毒1型脊髓炎是免疫功能正常的成人中罕见的脊髓炎病因。病例介绍：一位六十多岁的健康男性，表现为急性胸痛、呼吸困难和心脏骤停。院前心肺复苏，并进行溶栓治疗。院内诊断为双侧肺栓塞。住院12天后，他出现了下肢急性麻痹。磁共振结果提示脊髓炎，脊髓液中发现单纯疱疹1型病毒。他被诊断为单纯疱疹性脊髓炎，静脉注射阿昔洛韦28天，甲基强的松龙5天，症状没有缓解。解释：我们没有发现肺栓塞和单纯疱疹性脊髓炎之间的因果关系。我们的假设是由最初的肺栓塞和心脏骤停引起的严重压力触发了单纯疱疹病毒1的重新激活。
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引用次数: 0
WHOs økonomiske gap kan true global helsesikkerhet. 世卫组织的差距是真正的全球差距。
IF 1.2 Q2 MEDICINE, GENERAL & INTERNAL
Tidsskrift for Den Norske Laegeforening
Pub Date : 2025-04-29 Print Date: 2025-06-03 DOI: 10.4045/tidsskr.25.0131
Sine Grude
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引用次数: 0
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