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Over the last years EU have been working on the development of a common classification system for health indicators. In connection with prevention and health promotion, a classification system has now been developed: the European Health Promotion Indicator Development, EUHPID. The purpose has been to establish a system of indicators to advance the focus on health promotion. Furthermore, the EUHPID can be used as a planning tool to generate higher consistency between different health promotion initiatives and other policy initiatives. This article discusses the model and its relevance in a Danish context.

Thirty-five of 40 patients who had sustained an undisplaced fracture of the waist of the scaphoid were reviewed clinically and radiographically (including tomography) at a median of 70 (13-120) weeks after injury. All fractures had been retained in a below elbow scaphoid plaster for a period of median eight (3-12) weeks. End of treatment was based on the absence of "tenderness" over the scaphoid and on radiographical signs of fracture union median ten (5-24) weeks after injury. At review 28 (80%) of the fractures were united based on standard radiographs and tomography. Four fractures ((11%) 95% confidence limits: 3-27%) were nonunions and three fractures (9%) were probably united. Tomography gave additional information about the state of union if the fracture was visible but unclassifiable on standard radiographs. Tenderness over the scaphoid was only found in the nonunions and probably united fractures. Radiographic and clinical evaluation of the fracture six months after injury is recommended.

We present a case in which a 58-year-old woman was admitted for spirometry due to progressive dyspnoea. She had a history of chronic obstructive pulmonary disease treated for more than 20 years. The flow-volume loop indicated an upper airway obstruction. An otolaryngologic examination revealed a vocal cord polyp. It was excised and the patient's dyspnoea was relieved. The following spirometry indicated that the upper airway obstruction had been removed. The aim of this case report is to demonstrate that the flow-volume loop is a useful method in diagnosing and quantifying upper airway obstructions.

Eighteen patients, suspected of active inflammatory bowel disease, were investigated. The 99mTc-HMPAO-leucocyte scintigraphy was evaluated using the results of the simultaneous clinical examinations, which included clinical and biochemical parameters, small intestinal series, colonoscopy and, in two patients, operation, as reference. In agreement with the clinical examinations, the leucocyte scintigraphy indicated active inflammatory bowel disease in 14 of the 18 patients. The leucocyte scintigraphy disclosed inflammation in all of the 19 bowel segments, in which the clinical examinations indicated active inflammation. In three patients with Crohn's disease the scintigraphy indicated more extensive inflammation. A correlation between the scintigraphic activity and the Crohn's Disease Activity Index was found. However, the leucocyte scintigraphy did not seem useful as a disease activity index. The 99mTc-HMPAO-leucocyte scintigraphy seemed especially useful in severely ill patients and in patients suspected of relapse.

Adiposis dolorosa or Dercum's disease consists of a painful progressive localized state of obesity with four cardinal symptoms: a) painful circumscribed or diffuse fatty deposits, b) generalized obesity in women usually of menopausal age, c) asthenia, weakness and frequently tendency to fatigue and d) mental phenomena including emotional instability, depression, epilepsy, mental confusion and true dementia. Only a few cases in men have been described. The pain may be treated with intravenous administration of lignocaine or oral mexitil while no causal treatment is known. An illustrative case is reported.

The value of renography before and after angiotensin converting enzyme inhibition with captopril (captopril renography) as a test for renovascular hypertension was studied in fourteen hypertensive patients. The captopril renography was performed with 99mTc-DTPA by means of a gammacamera, allowing determination of single kidney glomerular filtration rate (SKGFR). In all patients determination of renal vein plasma renin concentration and renal angiography were carried out. Eleven patients showed an elevated unilateral renin secretion. All of these had a significant decrease of SKGFR in one or both kidneys after captopril. Three patients without a lateralized renal renin secretion showed no change in SKGFR. In five patients with presumed essential hypertension there was no change in SKGFR during captopril renography. Captopril renography with 99mTc-DTPA gammacamera renography is a promising tool for identification of unilateral increased renin secretion in hypertensive patients suspected of renovascular hypertension.