Artikler, rapporter og annet (samfunnsmedisin): Recent submissions
Now showing items 1221-1240 of 1514
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What circumstances lead to non-disclosure of cancer-related information in China? A qualitative study
(Journal article; Tidsskriftartikkel; Peer reviewed, 2016-11-11)Background: Withholding information from cancer patients is a common practice in many Asian countries, including China, Japan, and Singapore, as well as in some Western countries, such as Spain, Greece, and Italy. Much research has investigated why doctors withhold information from cancer patients generally, both in the West and the East, but little research has been done on specifically ... -
Patient experiences and the association with organizational factors in general practice: Results from the Norwegian part of the international, multi-centre, cross-sectional QUALICOPC study
(Journal article; Tidsskriftartikkel; Peer reviewed, 2016-08-24)Background: General practitioners (GPs) constitute a vital part of a strong primary health care system. We need further knowledge concerning factors that may affect the patients’ experiences in their meetings with the GPs. We investigated to what degree organizational factors and GP characteristics are associated with patients’ communicative experiences in a consultation. Methods: We used data ... -
Seroprevalence and correlates of herpes simplex virus type 2 infection among young adults in Arkhangelsk, Northwest Russia: A population-based cross-sectional study
(Journal article; Tidsskriftartikkel; Peer reviewed, 2016-10-28)Background: Herpes simplex virus type 2 (HSV-2) infection is the most common cause of genital ulcer disease (GUD) worldwide. Mother to child transmission causes high morbidity and mortality among infants. Russia is on the brink of a generalized HIV-epidemic, but Arkhangelsk is still a low-prevalence area. HSV-2 infection is associated with a three-fold increased risk of HIV-infection. The evidence ... -
Polymorphisms in the estrogen receptor alpha gene (ESR1), daily cycling estrogen and mammographic density phenotypes
(Journal article; Tidsskriftartikkel; Peer reviewed, 2016-10-07)Background: Single nucleotide polymorphisms (SNPs) involved in the estrogen pathway and SNPs in the estrogen receptor alpha gene (ESR1 6q25) have been linked to breast cancer development, and mammographic density is an established breast cancer risk factor. Whether there is an association between daily estradiol levels, SNPs in ESR1 and premenopausal mammographic density phenotypes is unknown. Methods: ... -
Pharmacological treatment of hypertension and hyperlipidemia in Izhevsk, Russia
(Journal article; Tidsskriftartikkel; Peer reviewed, 2016-06-03)Background: Cardiovascular disease (CVD) is the leading cause of death in Russia. Hypertension and hyperlipidemia are important risk factors for CVD that are modifiable by pharmacological treatment and life-style changes. We aimed to characterize the extent of the problem in a typical Russian city by examining the prevalence, treatment and control rates of hypertension and hyperlipidemia and ... -
Who are the users of a traditional Chinese sanfu acupoint herbal patching therapy in China? A cross-sectional survey
(Journal article; Tidsskriftartikkel; Peer reviewed, 2016)<br>Sanfu acupoint herbal patching (SAHP) is a unique traditional Chinese medicine therapy, which has become popular for preventing acute attack of respiratory diseases such as asthma and chronic obstructive pulmonary disease, in many regions of mainland China. However, the knowledge about its users is lacking, especially the characteristics of the users and their experience and perspectives.</br> <br>To ... -
Legeutdanning i og for distriktene
(Journal article; Tidsskriftartikkel; Peer reviewed, 2016)Med medisinstudiet i Tromsø som utgangspunkt belyser vi den internasjonale utviklingen av distriktsorienterte legeutdanninger fra 1960-tallet og fram til i dag. Basert på ulike perspektiver; universitetenes, studentenes, lærernes, pasientenes og befolkningens perspektiver, framlegges erfaringer med å anvende distriktene og kommunehelsetjenesten som undervisningsarena i legers grunnutdanning. De ... -
Clinical effects of a standardized Chinese herbal remedy, Qili Qiangxin, as an adjuvant treatment in heart failure: Systematic review and meta-analysis
(Journal article; Tidsskriftartikkel; Peer reviewed, 2016-07-11)Background: Qili Qiangxin capsule is a standardized Chinese herbal treatment that is commonly used in China for heart failure (HF) alongside conventional medical care. In 2014, Chinese guidelines for the treatment of chronic HF highlighted Qili Qiangxin capsules as a potentially effective medicine. However, there is at present no high quality review to evaluate the effects and safety of Qili ... -
The use of CAM providers and psychiatric outpatient services in people with anxiety/depression: A cross-sectional survey
(Journal article; Tidsskriftartikkel; Peer reviewed, 2016-11-11)Background: Depression has been identified as one of the most frequent predictors of CAM use. However, limited data exist about the use of CAM providers among people with anxiety/depression in Norway. The aim of this study was to investigate the use of CAM providers, and the use of CAM providers and psychiatric outpatient services in combination, among people with self-reported anxiety and/or ... -
Quality of care for remote orthopaedic consultations using telemedicine: A randomised controlled trial
(Journal article; Tidsskriftartikkel; Peer reviewed, 2016-09-08)Background: Decentralised services using outreach clinics or modern technology are methods to reduce both patient transports and costs to the healthcare system. Telemedicine consultations via videoconference are one such modality. Before new technologies are implemented, it is important to investigate both the quality of care given and the economic impact from the use of this new technology. The aim ... -
The Effects of a Locally Developed mHealth Intervention on Delivery and Postnatal Care Utilization; A Prospective Controlled Evaluation among Health Centres in Ethiopia
(Journal article; Tidsskriftartikkel; Peer reviewed, 2016)Background Although there are studies showing that mobile phone solutions can improve health service delivery outcomes in the developed world, there is little empirical evidence that demonstrates the impact of mHealth interventions on key maternal health outcomes in low income settings. Methods A non-randomized controlled study was conducted in the Amhara region, Ethiopia in 10 health ... -
Musculoskeletal complaints (pain and/or stiffness) and their impact on mortality in the general population. The Tromsø study
(Journal article; Tidsskriftartikkel; Peer reviewed, 2016)Background The long-term consequences of chronic pain and/or stiffness from the musculoskeletal system (musculoskeletal complaints: MSCs) have not been well explored. The aims of this study were to investigate whether MSCs reported at baseline influence all-cause and cause-specific mortality during 21 years follow-up of a general Northern Norwegian adult population. Methods A total of 26,977 ... -
Family practitioners' advice about taking time off work for lower respiratory tract infections: A prospective study in twelve European primary care networks
(Journal article; Tidsskriftartikkel; Peer reviewed, 2016)Background Acute cough and lower respiratory tract infections (LRTIs) are one of the most important causes of lost working hours. Aim to explore variation and predictors in family practitioners (FPs) advice to patients with LRTIs about taking time off work in different European countries. Methods Prospective observational study in primary care networks in 12 countries, with multilevel ... -
Sex differences in mortality among patients admitted with affective disorders in North Norway: A 33-year prospective register study
(Journal article; Tidsskriftartikkel; Peer reviewed, 2016-05-26)Objective: Previous studies from North Norway showed significantly increased mortality in patients with schizophrenia and personality disorder. The aim of the present study was to investigate total and cause- specific mortality in inpatients with affective disorder in a 33-year follow- up cohort, with a specific focus on sex differences. <p> Methods: Based on a hospital case register covering all ... -
Health complaints attributed to dental amalgam: a retrospective survey exploring perceived health changes related to amalgam removal
(Journal article; Tidsskriftartikkel; Peer reviewed, 2016)Background: Many patients have complex health complaints they attribute to dental amalgam. There is some evidence of symptom relief after removal of amalgam. Objective: The aims of this study were to assess the total symptom load in patients with all their amalgam fillings removed, and to investigate the self-reported improvement of health with regard to precautions taken under amalgam ... -
Overview of ongoing cohort and dietary studies in the Arctic
(Journal article; Tidsskriftartikkel; Peer reviewed, 2017-01-23)This article gives an overview of the ongoing cohort and dietary studies underlying the assessment of population health in the Arctic. The emphasis here is on a description of the material, methods and results or preliminary results for each study. Detailed exposure information is available in an article in this journal, whereas another paper describes the effects associated with contaminant ... -
Key indicators of obstetric and neonatal care in the Republic of Sakha (Yakutia)
(Journal article; Tidsskriftartikkel; Peer reviewed, 2016-12-13)In the absence of a medical birth registry, the official statistics are the only sources of information about pregnancy outcomes in the Republic of Sakha (Yakutia) (RS). We analysed the official statistical data about birth rate, fertility, infant and maternal mortality in the RS in the period 2003-2014. Compared with all- Russian data, the RS had a higher birth rate, especially in rural districts. ... -
Health effects associated with measured levels of contaminants in the Arctic
(Journal article; Tidsskriftartikkel; Peer reviewed, 2016-12-13)The Human Health Assessment Group has over the past decade recommended that effect studies be conducted in the circumpolar area. Such studies examine the association between contaminant exposure in the Arctic populations and health effects. Because foetuses and young children are the most vulnerable, effect studies are often prospective child cohort studies. The emphasis in this article is on a ... -
Wheezes, crackles and rhonchi: simplifying description of lung sounds increases the agreement on theirclassification: a study of 12 physicians' classification of lung sounds from video recordings
(Journal article; Tidsskriftartikkel; Peer reviewed, 2016-04-28)Background: The European Respiratory Society (ERS) lung sounds repository contains 20 audiovisual recordings of children and adults. The present study aimed at determining the interobserver variation in the classification of sounds into detailed and broader categories of crackles and wheezes. <p> Methods: Recordings from 10 children and 10 adults were classified into 10 predefined sounds by 12 ... -
Validity of self-reported myocardial infarction and stroke in regions with Sami and Norwegian populations: The SAMINOR 1 Survey and the CVDNOR project
(Journal article; Tidsskriftartikkel; Peer reviewed, 2016-11-30)Objective: Updated knowledge on the validity of self- reported myocardial infarction (SMI) and self-reported stroke (SRS) is needed in Norway. Our objective was to compare questionnaire data and hospital discharge data from regions with Sami and Norwegian populations to assess the validity of these outcomes by ethnicity, sex, age and education. <br> Design: Validation study using cross-sectional ...