Multiple-type human papillomavirus infection in younger uncircumcised men.

A cohort of 388 young men enrolled for military service in the Danish army was established and the participants underwent a clinical examination with human papillomavirus (HPV) testing. In addition, a questionnaire containing questions regarding sociodemographic variables, sexual habits and lifestyle factors was completed. The prevalence of HPV was 33.4% in this cohort of uncircumcised men aged 18-29 years. Multiple HPV types were prevalent with one-third of the HPV-positive men being positive for more than one HPV type. Number of recent sexual partners and infrequent condom use were strong risk factors, particularly in men having multiple HPV types. Our findings re-emphasize the importance of sexual transmission and also point to a role of factors that may be related to individual susceptibility as genital warts, alcohol intake and, to a lesser extent, smoking were strongly associated with having multiple HPV types.

Casualty rates among Danish soldiers in Iraq and Afghanistan.

In 2002 - 2009 Danish forces suffered a mortality rate of 0.09% in Iraq and 0.38% in Afghanistan, and a morbidity rate of 0.30% in Iraq and 1.01% in Afghanistan, as a result of weapons effects. In Afghanistan the survival rate is 97.0% for Danish wounded who were alive on arrival at UK R3 Hospital. British data from Afghanistan are compared to the Danish figures and there is no significant difference. We found an increase in injuries and deaths caused by mines/IEDs from 33% in 2006 to 72.7% in 2009 of all weapon effects causes. The more offensive war fighting posture of the Danish forces in Afghanistan has resulted in greater numbers of casualties. The study also indicates that the great majority of fatalities occur almost immediately at the point of injury. Most of the wounded survive, and a large of number of them are only lightly injured with a partial incapacity level of less than five percent. Haemostatic's and active employment of tourniquets, improved first aid training and training of medics, better evacuation methods including optimised in-flight diagnostics and treatment (including blood transfusion) by Medical Emergency Response Teams, Damage Control Surgery as well as access to quicker diagnostic methods have increased survivability.

Suicide after deployment in UN peacekeeping missions--a Danish pilot study.

This pilot study looks at the frequency of suicide among Danish soldiers who took part in the UN mandated forces (UNMF) during the 1990's. In a contingent of nearly 4000 Danish UN soldiers four suicides were documented, two of whom committed suicide less than one month before deployment and two who committed suicide within a year after discharge from mission. Contributing factors, prevention strategies, and implications for future research are discussed.

Tinea pedis and onychomycosis in Danish soldiers before and after service in ex-Yugoslavia.

Seventy-three 1-year-experienced Danish soldiers were examined for tinea pedis as well as onychomycoses before and after a duty period of 6 months in ex-Yugoslavia. The incidence of fungal infections was 16.4% before and 32.3% after their duty period abroad. At first investigation Trichophyton rubrum and T. mentagrophytes were dominant but onychomycosis and tinea pedis were found as well. In contrast, Candida albicans was the predominant pathogen in the second investigation. We explain this by means of the more aggressive nature that yeasts can show when host-parasite relations are disturbed or compromised. Twelve soldiers with positive mycology were offered treatment and the final investigation showed a cure rate of 50%. This result is satisfactory in view of the difficult sanitary conditions.

[Use of drugs among conscripts during military services]. / Brug af rusmidler blandt vaernepligtige under indkaldelsen.

UNLABELLED: The urine samples from 623 recruits at the beginning 493 recruits in the middle and 424 recruits at the end of military service were tested for cannabis. Six point four percent, 4.2% and 4.7% had positive urine samples. No statistically significant change of use of drugs was found. Three hundred and fifty-six recruits delivered all three urine samples. Five point nine percent had one or more positive urine samples and 2% had all three urine samples positive. Four percent admitted a daily or weekly use of cannabis (questionnaire). An increase in self-admitted use of other drugs than cannabis was found. Thirteen point four percent admitted a change of use of cannabis during military service. CONCLUSIONS: Some drug users were able to fulfil their military service despite regular use of cannabis, and use of urine test screening in a drug policy in order to unify the handling of suspected drug users is recommended.

[Drug abuse among new draftees]. / Rusmiddelbrug blandt nyindkaldte vaernepligtige.

The aim of the study was to investigate the pattern of the use of drugs among young conscripts by a test screening of their urine. The participants in the investigation also filled in a questionnaire about use of drugs. The urine samples from 916 young recruits were examined for cannabinoids and 429 were also examined for amphetamines, cocaine, opiates and benzodiazepines. We found 68 (7.8%) positive tests for cannabis and a negligible number of positive tests for other drugs. The questionnaire showed a lower statement of use of drugs though 3.3% stated a daily or weekly use of cannabis. Fifty-eight percent of the soldiers admitted that they had tried cannabis. Six percent had used other drugs. The consumption of alcohol is low during weekdays. We concluded that the conscripts did not constitute a population of drug abusers. We recommend that urine test screening (regular or spot test) should be incorporated in the future medical examination in the Danish Army to pinpoint personnel with a moderate use of cannabis.

Perivascular axillary block II: influence of injected volume of local anaesthetic on neural blockade.

Perivascular axillary blockade was performed on 150 patients with the aid of a catheter technique. Blockade failure due to injection outside the neurovascular sheath was found in 5.7% of the subject material. The patients were randomly allocated to three groups. The amount of local anaesthetic was constant in each group: 400 mg mepivacaine with adrenaline. However, the injected volume was a variable factor, namely 20, 40 or 80 ml. Sensory and motor blockade was tested 30 min after each injection. The following results were obtained: 1) Apart from the axillary, musculocutaneous and radial nerves, a high frequency of analgesia was found in all cutaneous areas (over 85%). 2) In the axillary area, improvements were found with increasing volume. 3) Analgesia in the musculocutaneous area occurred in 52% of the patients in group 1 (20 ml) and improved to 75% in group 2 (40 ml). However, no difference was found between group 2 and group 3 (80 ml). 4) Volume had no influence on analgesia in the radial area. 5) Motor blockade was intensified with decreasing volume, i.e. with an increase of concentration of local anaesthetic solution.