Skilsmisse og bolig - hvor flytter hjemfølelsen hen?

Bolig, familieliv og hjemfølelse er historisk og kulturelt tæt knyttet sammen. I denne artikel er vi derfor interesseret i, hvad der sker med forholdet til boligen og med hjemfølelsen, når familien går i opløsning, og en eller begge parter flytter i forbindelse med en skilsmisse. Artiklen rummer dels en teoretisk introduktion til den internationale teori vedrørende bolig og hjemfølelse, dels en analyse af kvalitative interview med fraskilte om deres praktiske og følelsesmæssige forhold til deres bolig og hjem før og efter skilsmissen. Analysen peger på, at de følelsesmæssige bånd til en familiebolig kan forsvinde i dét øjeblik, beslutningen om en skilsmisse er truffet. Det praktiske arbejde med at etablere og indrette et nyt hjem kan blive en vigtig måde at søge ny identitet som enlig, og problemer med at finde et sted at bo, og deraf følgende midlertidige boliger, kan derfor gøre livet efter skilsmissen ekstra svært. Undersøgelsen peger endvidere på, at til trods for at mange fraskilte oplever det positivt at bo alene i en periode, så lever drømmen om kernefamilie og familiebolig videre. De fleste interviewpersoner giver således udtryk for, at de forestiller sig, at de på et tidspunkt etablerer en ny familiebolig med en ny partner. ENGELSK ABSTRACT: Kirsten Gram-Hanssen & Claus Bech-Danielsen: Divorce and Housing: Where does the Feeling of Being Home Move? House and home are historically and culturally closely connected to family life. In this article we investigate the ways in which the housing situation and the feeling of home are affected by divorce – when some or all members of the family move out of the matrimonial house. The article is based on an international literature review on the meaning of housing and home and on qualitative interviews of four men and five women in Denmark who were interviewed about their experiences with housing and home while being divorced. The article points out that emotional relations to the matrimonial house may disappear at the very moment the decision is made to divorce. It also points out that the practical work of creating a new home can play an important role in the process finding a new identity as a single parent. Many people find that life after being divorced is very difficult, when problems in finding a new house result in a number of temporary housing situations. Finally it is stressed that, even though many divorcees have positive experiences living alone, they never give up the dream of the nuclear family. Most of the interviewees picture themselves living in a new matrimonial house with a future partner. Key words: Housing, home, divorce, family, qualitative interviews

Skilsmisse og bolig - hvor flytter hjemfølelsen hen?

Bolig, familieliv og hjemfølelse er historisk og kulturelt tæt knyttet sammen. I denne artikel er vi derfor interesseret i, hvad der sker med forholdet til boligen og med hjemfølelsen, når familien går i opløsning, og en eller begge parter flytter i forbindelse med en skilsmisse. Artiklen rummer dels en teoretisk introduktion til den internationale teori vedrørende bolig og hjemfølelse, dels en analyse af kvalitative interview med fraskilte om deres praktiske og følelsesmæssige forhold til deres bolig og hjem før og efter skilsmissen. Analysen peger på, at de følelsesmæssige bånd til en familiebolig kan forsvinde i dét øjeblik, beslutningen om en skilsmisse er truffet. Det praktiske arbejde med at etablere og indrette et nyt hjem kan blive en vigtig måde at søge ny identitet som enlig, og problemer med at finde et sted at bo, og deraf følgende midlertidige boliger, kan derfor gøre livet efter skilsmissen ekstra svært. Undersøgelsen peger endvidere på, at til trods for at mange fraskilte oplever det positivt at bo alene i en periode, så lever drømmen om kernefamilie og familiebolig videre. De fleste interviewpersoner giver således udtryk for, at de forestiller sig, at de på et tidspunkt etablerer en ny familiebolig med en ny partner. ENGELSK ABSTRACT: Kirsten Gram-Hanssen & Claus Bech-Danielsen: Divorce and Housing: Where does the Feeling of Being Home Move? House and home are historically and culturally closely connected to family life. In this article we investigate the ways in which the housing situation and the feeling of home are affected by divorce – when some or all members of the family move out of the matrimonial house. The article is based on an international literature review on the meaning of housing and home and on qualitative interviews of four men and five women in Denmark who were interviewed about their experiences with housing and home while being divorced. The article points out that emotional relations to the matrimonial house may disappear at the very moment the decision is made to divorce. It also points out that the practical work of creating a new home can play an important role in the process finding a new identity as a single parent. Many people find that life after being divorced is very difficult, when problems in finding a new house result in a number of temporary housing situations. Finally it is stressed that, even though many divorcees have positive experiences living alone, they never give up the dream of the nuclear family. Most of the interviewees picture themselves living in a new matrimonial house with a future partner. Key words: Housing, home, divorce, family, qualitative interviews

Доктор, у меня повышен Д-димер!

БЕРЕМЕННОСТЬД-ДИМЕРБЕРЕМЕННОСТИ ОСЛОЖНЕНИЯГЕМОСТАЗПОСЛЕРОДОВОЙ ПЕРИОДБИОЛОГИЧЕСКИЕ МАРКЕРЫПРОГНОЗИРОВАНИЕПРЕНАТАЛЬНАЯ ДИАГНОСТИКАД-димер является важным показателем активации системы гемостаза, увеличивающимся в течение физиологически протекающей беременности. В статье рассматриваются вопросы референсных значений Д-димера при беременности и в послеродовом периоде

Evaluation of 17-mm St. Jude Medical Regent prosthetic aortic heart valves by rest and dobutamine stress echocardiography

BACKGROUND: The prosthesis used for aortic valve replacement in patients with small aortic root can be too small in relation to body size, thus showing high transvalvular gradients at rest and/or under stress conditions. This study was carried out to evaluate rest and Dobutamine stress echocardiography (DSE) hemodynamic response of 17-mm St. Jude Medical Regent (SJMR-17 mm) in relatively aged patients at mean 24 months follow-up. METHODS AND RESULTS: The study population consisted of 19 patients (2 men, 17 women, mean age 69.2 ± 7.3 years). All patients underwent rest Doppler echocardiography before and after surgery and basal and DSE at follow up (infused at rate of 5 micrg/Kg/min and increased by 5 microg/Kg/min at 5 min intervals up to 40 microg/Kg/min). The following parameters were evaluated at rest and/or under DSE: heart rate (HR), ejection fraction (EF), cardiac output (CO), peak and mean velocity and pressure gradients (MxV, MnV, MxPG, MnPG), effective orifice area (EOA), indexed EOA (EOAi), left ventricular mass (LVM), indexed LVM (LVMi), Velocity Time Integral at left ventricular outflow tract (VTI LVOT) and transvalvular (Aortic VTI), Doppler velocity index (DVI). At rest MxPG and MnPG were 29.2 ± 7.1 and 16.6 ± 5.8mmHg, respectively; EOA and EOAi resulted 1.14 ± 0.3 cm(2) and 0.76 ± 0.2 cm(2)/m(2); DVI was normal (0.50 ± 0.1). At follow-up LVM and LVMi decreased significantly from pre-operative value of 258 ± 43g and 157.4 ± 27.7g/m(2) to 191 ± 23.8g and 114.5 ± 10.6g/m(2), respectively. DSE increased significantly HR, CO, EF, MxGP (up to 83.4 ± 2 1.9mmHg), MnPG (up to 43.2 ± 12.7mmHg). EOA, EOAi, DVI increased insignificantly (from baseline up to 1.2 ± 0.4 cm(2), 0.75 ± 0.3cm(2)/m(2) and 0.48 ± 0.1 respectively). Two patients developed significant intraventricular gradients. CONCLUSION: These data show that SJMR 17-mm prostheses can be safely implanted in aortic position in relatively aged patients, offering a satisfactory hemodynamic performance at rest and under DSE, with full utilization of its available orifice, suggesting that a possible mild prosthesis-patient mismatch is not an issue of clinical relevance when this small prosthesis is used. Rest and Dobutamine stress echocardiography is a useful and effective means for evaluating prosthesis hemodynamics and for monitoring the expected LVH regression

Obesity and the Risk of Cryptogenic Ischemic Stroke in Young Adults

Objectives: We examined the association between obesity and early-onset cryptogenic ischemic stroke (CIS) and whether fat distribution or sex altered this association. Materials and Methods: This prospective, multi-center, case-control study included 345 patients, aged 18-49 years, with first-ever, acute CIS. The control group included 345 age-and sex-matched stroke-free individuals. We measured height, weight, waist circumference, and hip circumference. Obesity metrics analyzed included body mass index (BMI), waist-to-hip ratio (WHR), waist-to-stature ratio (WSR), and a body shape index (ABSI). Models were adjusted for age, level of education, vascular risk factors, and migraine with aura. Results: After adjusting for demographics, vascular risk factors, and migraine with aura, the highest tertile of WHR was associated with CIS (OR for highest versus lowest WHR tertile 2.81, 95%CI 1.43-5.51; P=0.003). In sex-specific analyses, WHR tertiles were not associated with CIS. However, using WHO WHR cutoff values (>0.85 for women, >0.90 for men), abdominally obese women were at increased risk of CIS (OR 2.09, 95%CI 1.02-4.27; P=0.045). After adjusting for confounders, WC, BMI, WSR, or ABSI were not associated with CIS. Conclusions: Abdominal obesity measured with WHR was an independent risk factor for CIS in young adults after rigorous adjustment for concomitant risk factors.Peer reviewe

The T.O.S.C.A. Project: Research, Education and Care

Despite recent and exponential improvements in diagnostic- therapeutic pathways, an existing “GAP” has been revealed between the “real world care” and the “optimal care” of patients with chronic heart failure (CHF). We present the T.O.S.CA. Project (Trattamento Ormonale dello Scompenso CArdiaco), an Italian multicenter initiative involving different health care professionals and services aiming to explore the CHF “metabolic pathophysiological model” and to improve the quality of care of HF patients through research and continuing medical education