English
norskArtikler, rapporter og annet (samfunnsmedisin): Nye registreringer
Viser treff 1101-1120 av 1514
-
GP-confirmed complete Achilles tendon rupture using pocket-sized ultrasound: a case report
(Journal article; Tidsskriftartikkel; Peer reviewed, 2017-07-25)The incidence of complete Achilles tendon rupture is 18 per 100 000 patient-years and is usually diagnosed clinically by GPs. The extent of clinical misdiagnosis is unknown in Norway, but may be high. This is important as delayed treatment has unfavourable consequences. We report how a GP, with no clinical ultrasound experience, recorded images with a pocket-sized ultrasound device (PSUD) under ... -
Blood pressure target achievement and antihypertensive medication use in women and men after first-ever myocardial infarction: the Tromsø Study 1994-2016
(Journal article; Tidsskriftartikkel; Peer reviewed, 2018-01-03)Background: <br> Recurrent cardiovascular events after myocardial infarction (MI) are frequent, and gender differences in blood pressure treatment have been reported. Despite increased focus on secondary prevention, recent reports indicate that treatment targets are not achieved. There is a need for gender-specific analyses of post-MI blood pressure treatment target achievement and ... -
Kreftdiagnostikk i almenpraksis VII. Ringeklokkesymptomer, ringeklokkedata og fallgruver. Nyttige varslere i almenpraktikerens kreftdiagnostiske arbeid?
(Journal article; Tidsskriftartikkel; Peer reviewed, 1984)Her presenteres lister over «ringeklokkesymptomer», «ringeklokkedata» og «fallgruver» i praktisk kreftdiagnostikk. Listene er ment å være forslag til en utdypet og forbedret legerettet versjon av de publikumsrettede kreftens syv faresignaler. <br>Forekomst av disse diagnostiske data er registrert ved journalgjennomgang for 65 kreftpasienter. Forekomst av ringeklokkesymptomer er også registrert hos ... -
Kreftdiagnostikk i almenpraksis VI. Innholdet i kreftfaresignalene. Er "varige smerter" aktuelt som faresignal?
(Journal article; Tidsskriftartikkel; Peer reviewed, 1984)Antallet og innholdet i kreftfaresignalene er blitt endret flere ganger siden de ble introdusert i USA under første verdenskrig. Faresignalene er forsøkt utformet slik at de hjelper mennesker med kreft til raskest mulig å søke lege, uten å skape unødig angst i befolkningen og øke "trivialitets"-belastningen i helsevesenet. <br> Her diskuteres denne målsetningen, og jeg undersøker nærmere ... -
Kreftdiagnostikk i almenpraksis V. Pasienter med og uten kreft. Hvem søker lege for kreftens syv faresignaler?
(Journal article; Tidsskriftartikkel; Peer reviewed, 1984)Almenpraktiker- og sykehusjournaler til 65 kreftpasienter og 65 kjønns- og aldersmessig like kontrollpasienter ble gjennomgått for å registrere forekomst av kreftens syv faresignaler. For kreftpasientene ble kun faresignaler som opptrådte før diagnose, registrert. og disse ble klassifisert som «tidlig» eller «sent» opptredende etter nærmere definisjoner. <br> Hos 66 % av kreftpasientene forekom ... -
Kreftdiagnostikk i almenpraksis IV. Intervjuregistrering av kreftfaresignaler. Pasienter i almenpraksis og befolkningen
(Journal article; Tidsskriftartikkel; Peer reviewed, 1984)Opplysning om kreftens syv faresignaler (tab 1) er rettet mot publikum. Informasjonen tar sikte på å få mennesker som opplever symptomer som passer med faresignalene, til å søke lege snarest mulig. Dør-til-dør-intervju med 299 personer i Tromsø viste at 74 (25 %) anga å ha opplevd faresignalsymptomer de siste tre månedene. Omtrent halvparten av de 74 hadde kontaktet lege av denne grunn. ... -
Kreftdiagnostikk i almenpraksis III. Almenpraktikeres registrering av kreftfaresignaler hos pasienter
(Journal article; Tidsskriftartikkel; Peer reviewed, 1984)Almenpraktikere i Tromsø registrerte i tiden 1/10 1981-31/3 1982 forekomsten av symptomer som samsvarer med kreftens syv faresignaler hos sine pasienter. Faresignal ble registrert ved 5,4 % av konsultasjonene. Forekomst av faresignaler pr. 1 000 konsultasjoner presenteres sammen med alders- og kjønnsfordeling. -
Kreftdiagnostikk i almenpraksis I. Kan diagnosen stilles tidligere?
(Journal article; Tidsskriftartikkel; Peer reviewed, 1980)108 pasienter ble i 1976 meldt til Kreftregisteret fra Tromsø kommune. Almenpraktiker- og sykehusjournaler for disse pasientene er gjennomgått og vurdert med tanke på hvor raskt kreftsykdommen ble diagnostisert.<br> Tre fjerdedeler av pasientene kunne ut fra en etterpåklok vurderlng fått stilt diagnosen tidligere. Halvparten av alle kom sent til lege, og for halvparten kunne almenpraktikere eller ... -
Salivary cortisol, perceived stress, and metabolic syndrome: a matched case-control study in female shift workers
(Journal article; Tidsskriftartikkel; Peer reviewed, 2017-05-30)Objective: <br> Although the pathogenesis of metabolic syndrome (MetS) is complex and multifactorial, there is limited information if psychological factors, such as stress exposure, are involved in the etiology of MetS. Therefore, this study investigated the associations between MetS and cortisol levels and perceived stress levels among women shift workers in Southern Brazil.<br> Design: ... -
Kreftdiagnostikk i almenpraksis II. Hva kan almenpraktikeren forbedre?
(Journal article; Tidsskriftartikkel; Peer reviewed, 1980)Kasuistikker å lære av.<br> I denne delen av undersøkelsen utdypes hvordan almenpraktikernes kreftdiagnostikk kan bedres. På basis av undersøkelsen fremlegges en liste med råd til legene. <br> 108 pasienter ble i 1976 meldt til Kreftregisteret fra Tromsø kommune. Jeg har undersøkt hvordan disse pasientente fikk diagnostisert sin kreftsykdom. l den foregående artikkel (7) diskuteres pasientens ... -
Multicomponent Lifestyle Interventions for Treating Overweight and Obesity in Children and Adolescents: A Systematic Review and Meta-Analyses
(Journal article; Tidsskriftartikkel; Peer reviewed, 2017-12-17)Background:<br> Treatment of childhood obesity is important in preventing development of obesity-related diseases later in life. This systematic review evaluates the effect of multicomponent lifestyle interventions for children and adolescents from 2 to 18 years. <br>Methods and Results:<br> We performed systematic searches in nine databases. Thirty-nine studies met the criteria for meta-analyses. ... -
Eliciting patient preferences in shared decision-making (SDM): Comparing conversation analysis and SDM measurements
(Journal article; Tidsskriftartikkel; Peer reviewed, 2017-06-18)Objective<br> To explore how physicians bring up patient preferences, and how it aligns with assessments of shared decision-making.<p> Methods<br> Qualitative conversation analysis of physicians formulating hypotheses about the patient’s treatment preference was compared with quantitative SDM scores on ‘patient preferences’ using OPTION(5) and MAPPIN’SDM.<p> Results<br> Physicians occasionally ... -
Pre-diagnosis insulin-like growth factor-I and risk of epithelial invasive ovarian cancer by histological subtypes: A collaborative re-analysis from the Ovarian Cancer Cohort Consortium
(Journal article; Tidsskriftartikkel; Peer reviewed, 2017-02-16)Purpose: <br>Biologic evidence suggests that the Insulin-like growth factor (IGF)-family may be involved in the etiology of epithelial invasive ovarian cancer (EOC). However, prospective studies investigating the role of IGF-I in ovarian carcinogenesis have yielded conflicting results.<br> Methods: <br>We pooled and harmonized data from 6 case-control studies nested within the Ovarian Cancer ... -
Serum parathyroid hormone is associated with increased cortical porosity of the inner transitional zone at the proximal femur in postmenopausal women: the Tromsø Study
(Journal article; Tidsskriftartikkel, 2017-11-14)Summary:<br> Serum parathyroid hormone (PTH) was associated with increased bone turnover markers and cortical porosity of the inner transitional zone at the proximal femur. These results suggest that PTH through increased intracortical bone turnover leads to trabecularisation of inner cortical bone in postmenopausal women. <p> Introduction: <br> Vitamin D deficiency leads to secondary ... -
Global, regional, and national disability-adjusted life-years (DALYs) for 333 diseases and injuries and healthy life expectancy (HALE) for 195 countries and territories, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016
(Journal article; Tidsskriftartikkel; Peer reviewed, 2017-09-16)Background: <br> Measurement of changes in health across locations is useful to compare and contrast changing epidemiological patterns against health system performance and identify specific needs for resource allocation in research, policy development, and programme decision making. Using the Global Burden of Diseases, Injuries, and Risk Factors Study 2016, we drew from two widely used summary ... -
More diagnostic indexes from general practice for some important forms of cancer
(Journal article; Tidsskriftartikkel; Peer reviewed, 1990)A method of calculating positive predictive values (PPVs) and likelihood ralios (LRs) on the basis of Bayesian probabilities has been described previously. In the present article the method is applied to a sore which does not heal in relation to skin cancer, a lump in the breast in relation to female breast cancer, genital bleeding in relation to internal genital cancer in fernales and ... -
A method of calculating diagnostic indexes for possible cancer symptoms in general practice
(Journal article; Tidsskriftartikkel; Peer reviewed, 1990)Most medical encounters start with the presentation of symptomns that lead to hypotheses about the diagnosis. It might be useful to know the probability of a disease when a symptom of it is presented in a consulation with a general practitioner, i.e., the positive predictive value (PPV) of a particular symptom in relation to a disease. A diagnostic index of this kind would need to be based ... -
A Mixed-Method Study on Correlates of HIV-Related Stigma Among Gay and Bisexual Men in the Southern United States
(Journal article; Tidsskriftartikkel; Peer reviewed, 2017-07)Societal prejudice against people living with HIV infection is a formidable public health challenge that can negatively impact health and well-being. We recruited a multiethnic sample of 129 gay and bisexual men living with HIV who completed a brief survey; a subset of participants completed semi-structured qualitative interviews to contextualize the data. In bivariate analyses, stigma was ... -
Probability revision in general practice: the cases of occult blood in stool in patients with indigestion, and daily smoking in patients who cough
(Journal article; Tidsskriftartikkel; Peer reviewed, 1990)Prior calculation of the sex- and age-distributed positive predictive value (PPV) of a symptom in relation to a disease forms the basis for probability revision based on new information about signals observed during the medical encounter: a symptom, a sign, a piece of information based on the medical history, a laboratory test. Probability revision requires estimates of sensitivity and specificity ... -
The relative importance of health, income and social relations for subjective well-being: An integrative analysis
(Journal article; Tidsskriftartikkel; Peer reviewed, 2016-01-28)There is much evidence that health, income and social relationships are important for our well-being, but little evidence on their relative importance. This study makes an integrative analysis of the relative influence of health related quality of life (HRQoL), household income and social relationships for subjective well-being (SWB), where SWB is measured by the first three of the five items on the ...
