Effecting change in academic dentistry by means of small organizations

Specialised exercise has proven beneficial for cancer patients who are therefore offered a supervised six-week exercise programme at hospitals in Denmark. This quality assurance study investigated whether the distance between home and hospital and other demographic variabilities affected patients' participation in and completion of the programme.
Data were collected on cancer patients' participation in a specialised exercise programme at the Department of Oncology, Vejle Hospital, Denmark, between January 2014 and June 2017. Data covering the same period were collected on all patients referred to the department. Demographics and information on cancer diagnosis were retrieved from the patient administrative systems. The distance by car from patients' residential postcode to hospital was measured using a map service. The potential relationship between distance to hospital and participation was investigated by univariate and multivariate regression analyses.
Travel distance had a significant impact (p less than 0.001) on participation. Similarly, gender (p = 0.001), intention of treatment (p = 0.001) and type of cancer (p = 0.001) were of significance to completion of the programme.
Travel distance tended to compromise participation, but for patients who chose to participate, travel distance did not affect completion of the programme.
none.
not relevant.
not relevant.
Pandemics are known to cause stress and anxiety in pregnant women. During the coronavirus disease 2019 (COVID-19) lockdown of the Danish society, pregnant women were considered to be at increased risk, and access to antenatal care changed.
On 8 April 2020A, a questionnaire was sent to 332 pregnant women previously sampled by general practitioners in two Danish regions. The women were contacted via secured e-mail (e-Boks), and questionnaires were returned until 6 May.
The questionnaire was returned by 257 women (77%). More than half believed that they were at a high risk of infection with COVID-19, and a third of the women were concerned about the risk of serious disease - especially for their unborn child. Almost 90% isolated at home most of the time. The majority were worried about possible consequences of the pandemic for antenatal care, but very few had actually missed a scheduled preventive consultation with their general practitioner, and only 15% had missed an appointment with their midwife. The majority of the women preferred normal consultations and found no added safety in shifting the consultation from the normal clinical setting.
The COVID-19 pandemic and lockdown have had a major impact on Danish pregnant women. Even so, concerns were more focused on access to care than on the risk of COVID-19 infection. Contacts with the antenatal healthcare system have only been moderately affected.
TRYG Foundation and KEU, Region Copenhagen.
not relevant.
not relevant.
The extended physiotherapy examination scheme (EES) was developed to assist general practitioners in their assessment of patients with complex low-back pain (LBP). The aim was to compare LBP patients in the EES and patients in current physiotherapy practice (CP) with respect to characteristics, healthcare utilisation and sick leave.
Data from three cohorts were included, one covering the EES and two covering CP for LBP patients in Danish primary care physiotherapy. Baseline questionnaire data were collected, and 78-week follow-up was conducted in Danish registries. Patients were stratified according to their risk profile by the STarT Back Tool, and regression analyses were used to analyse healthcare utilisation and sick leave.
A total of 746 patients in the EES and 361 in CP were included. Patients in the EES had sick leave more often and were characterised by a longer pain duration and more disability than CP patients. MG-101 The probability of contact to secondary care was doubled among patients in the EES with a high-risk profile and patients in the EES showed a trend towards a higher degree of sick leave.
LBP patients in the EES are more burdened than patients in CP. Consequently, for some subgroups in the EES, a higher referral rate and more sick leave were detected. These findings may be the result of vague referral criteria, lack of appropriate screening tools or inadequate monitoring of the EES.
This study was funded by the Central Denmark Region and the Region of Southern Denmark.
not relevant.
not relevant.
The municipality of Copenhagen offers general health assessment (GHA) to all newly resettled refugees, conducted at the Section of Immigrant Medicine, Hvidovre Hospital. This study described their disease burden and sociodemographic characteristics.
In this cross-sectional study, all adult individuals assessed from 1 January 2017 to 30 January 2019 were included. Doctors performed the GHA, including a structured questionnaire, clinical examination and blood testing.
In total, 160 refugees were included. Few suffered from communicable diseases (e.g., 1% hepatitis B virus) or other somatic diseases (4% diabetes Type 2). However, deficiencies such as vitamin D deficiency (76%), vitamin B12 deficiency (31%) and anaemia (12%) were frequent. The majority reported headache (54%) or other pain (53%). Furthermore, signs of post-traumatic stress disorder were frequent (33%) and significantly associated with experience of torture, prison and persecution.
The population presented with pertinent health issues such as vitamin deficiencies, mental health issues and symptoms of pain. Few suffered from non-communicable or communicable diseases. Our results suggest that an offer of specialised services at municipality level for all newly resettled refugees may be beneficial. Furthermore, the study underlines the need for more research within the field of refugee health.
None.
Ethical approval was obtained from the Capital Region of Denmark and the Danish Patient Safety Authority.
Ethical approval was obtained from the Capital Region of Denmark and the Danish Patient Safety Authority.
In a multiple-tier prehospital emergency system, knowing the response time of supplemental prehospital units may aid the ambulance personnel in deciding whether to remain at the scene and initiate treatment or to load the patient and head towards the hospital. We sought to correlate the actual to the predicted response time indicated at the GPS display in the vehicles of the supplemental prehospital resources.
From December 2016 to February 2017, all emergency runs with lights and sirens performed by the mobile emergency care units in Odense were registered. For each emergency run, the physician registered the actual response time, the distance to the incident when travelling along the route suggested by the GPS and the predicted time to arrival. These registrations of time variables served as the basis for a linear regression analysis. A correlation between estimated and actual response time was calculated.
A total of 617 runs were registered. In all, 189 runs were excluded. Thus, a total of 428 runs were included.