ISM skriftserie: Recent submissions
Now showing items 21-40 of 161
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Abdominal aortic aneurysms : diagnosis and epidemiology : the Tromsø Study
(Doctoral thesis; Doktorgradsavhandling, 2005)Abdominal aortic aneurysm (AAA) is a relatively common, potentially life-threatening condition roughly accounting for one percent of all the deaths in the western world. Abdominal aortic aneurysms are usually asymptomatic until rupture. Death from rupture is often sudden and the disease is prone to be misclassified as death from cardiac arrest. Since the introduction of surgical repair of AAA ... -
Ultrasound assessed carotid atherosclerosis in a general population : the Tromsø study
(Doctoral thesis; Doktorgradsavhandling, 2000)As a neurologist with a special interest in cerebrovascular diseases, and with several years of practice with ultrasound examinations of extra- and intracranial arteries, I have some times experienced patients in whom ultrasound revealed unexpected findings which surprised mc, and made me wonder about etiological relationships and clinical implications. Thus, ultrasound examinations of the carotid ... -
Explaining risk reductions in medical practice : prevention or postponement?
(Doctoral thesis; Doktorgradsavhandling, 2008)Diagnosis, treatment and follow up of risk conditions such as hypercholesterolemia and osteoporosis are prominent tasks of contemporary medical practice. The aim is to prevent, or at least postpone the onset of adverse health outcomes such as angina pectoris, heart attacks, strokes and fractures. Dealing with risks involves decision making under uncertainty. For patients to be able to engage ... -
Iron status and prevalence of hereditary haemochromatosis in a multiethnic population in northern Norway : the SAMINOR study, the Sør-Varanger study, the Tromsø V study
(Doctoral thesis; Doktorgradsavhandling, 2008)Iron status is influenced by several factors such as nutritional factors and blood loss. Tron deficiency is one of the most severe and important nutritional deficiencies in the world today, both in industrialised as well as developing countries [1-3]. In normal subjects the total daily loss of iron is balanced by an equivalent amount of iron absorbed from the diet. When this equilibrium is ... -
Suicidal behavior among indigenous Sami in Arctic Norway : a special focus on adolescents and young adults
(Doctoral thesis; Doktorgradsavhandling, 2007)Since the 1950’s the global suicide rates have continued to increase, and today suicide has become an important public-health problem worldwide (World Health Organization (WHO), 2002). According to WHO there are approximately one million deaths from suicide each year worldwide, and about 20 times this number of people attempt suicide (2002). There are substantial variations in the national suicide ... -
Hormones, smoking and mammographic density in postmenopausal Norwegian women : the Tromsø Mammography and Breast Cancer Study
(Doctoral thesis; Doktorgradsavhandling, 2007)Breast cancer is the most commonly occurring malignancy among women, and according to estimates by the International Agency for Research on Cancer, more than one million new cases were diagnoscd worldwide in 2002 (1). In Norway, altogether 2,780 women were diagnosed with breast cancer in 2005, corresponding to an age-adjusted (world) incidence rate of 75.7 per 100,000 women per year (2). According ... -
Withdrawal and exclusion : a study of the spoken word as means of understanding schizophrenic patients
(Doctoral thesis; Doktorgradsavhandling, 2005)There are literally thousands of people living among us who suffer from chronic and severe mental illness. There may be as many as one out of 100 that might be described with the diagnosis of schizophrenia. This means that most of us are likely to know, or know of, at least one person who suffers from schizophrenia. Nevertheless, most people perceive it as both distant and elusive.<br> The ... -
Haemoglobin, anaemia and haematological malignancies : the Tromsø study 1974-1995
(Doctoral thesis; Doktorgradsavhandling, 2006)Haemoglobin measurement is one of the most frequently performed laboratory tests. The haemoglobin level has well known variability according to age and gender [1- 3]. However, the reference values are often from elderly cross sectional studies of younger subjects, and may not reflect the populations’ actual distribution today. Several lifestyle factors, including body mass index (BMI) and ... -
Longitudinal analyses of cardiovascular risk factors : the Tromsø study 1974-1995
(Doctoral thesis; Doktorgradsavhandling, 2002)The present study has addressed longitudinal changes in cardiovascular risk factors and also assessed the association between BMI change with changes in other risk factors. We showed a moderate to high degree of tracking for systolic and diastolic blood pressure, HDL cholesterol, total cholesterol, and triglycerides and a higher degree of tracking for BMI. Tracking was higher for total cholesterol ... -
Infection, inflammation and artherosclerosis
(Doctoral thesis; Doktorgradsavhandling, 2007)Myocardial infarction and stroke are leading causes of death and disability iii the Western world, and substantial resources are spent on treatment, care and rehabilitation. A marked reduction in cardiovascular mortality has been observed in both genders in Norway during the 1980s and 1990s (Statistics Norway), probably due to both improved prevention and treatment of the acute ischemic event. ... -
'Nå ska du høre ka æ mene med arv ' : samisk forståelse av arv som en utfordring i medisinsk genetikk
(Doctoral thesis; Doktorgradsavhandling, 2006)I denne avhandlingen søker jeg til å gi innsikt i den folkelige forståelsen av arv. Hvordan tenker folk flest om arv, hva forbinder de med arv? I mitt arbeid som lege og spesialist i medisinsk genetikk møter jeg pasienter med arvelige sykdommer og deres familier. I dette arbeidet har jeg over tid følt et økende behov for å utforske hva folk forbinder med begrepet arv? Hva snakker folk om, når ... -
A population based study on cardiovascular diseases in Northwest Russia : the Arkhangelsk study 2000
(Doctoral thesis; Doktorgradsavhandling, 2005)This study was designed and carried out in Arkhangelsk to investigate reasons for high CVD mortality/morbidity in Northwest of Russia. It revealed that the high CVD morbidity and mortality in this population could not be explained only by the classical CVD risk factors (blood pressure, serum lipids, smoking). Lipid profile was especially favorable. These results from the Arkhangelsk study are ... -
Pasienterfaringer i primærlegetjenesten før og etter fastlegereformen
(Research report; Forskningsrapport, 2003)Innføring av fastlegeordning 1. juni 2001, problemer med rekruttering av leger til distriktskommuner og en økende resultat- og brukerorientering i velferdsstatens tjenestetilbud har aktualisert studier av pasientopplevd kvalitet og tilgjengelighet i norsk primærlegetjeneste. <ul id = «mylist»> <li> Hvordan har befolkningens og pasientenes opplevelser av kvalitet og tilgjengelighet i ... -
Bio-psycho-social aspects of severe multiple trauma
(Doctoral thesis; Doktorgradsavhandling, 2003)Subjects with severe multiple trauma present great challenges in rehabilitation, and investigations with a holistic bio-psycho-social point of view have been scarce. In the main part of this investigation all 146 patients with severe multiple trauma (ISS 16) admitted to a regional hospital in 1990. were target. Ten years survival probability for those discharged alive from the Department of ... -
Individual fatty acids and cardiovascular risk factors
(Doctoral thesis; Doktorgradsavhandling, 2001)This thesis focuses on the relationship of individual fatty acids in blood phospholipids with blood pressure, serum cholesterol, triglycerides and apolipoproteins. A clinical trial and a observational study address the following questions: 1. What are the effects of dietary supplementation with high doses (4 grams daily) of highly purified EPA and DHA on serum lipids (triglycerides, total, LDL ... -
Environmental and occupational exposure, life-style factors and pregnancy outcome in arctic and subarctic populations of Norway and Russia
(Doctoral thesis; Doktorgradsavhandling, 2000)The study was initiated because of the public fear of adverse reproductive health and pregnancy outcomes in the Russian-Norwegian border zone in the vicinity of the nickel producing industry in the Kola Peninsula. The original objective was to assess health conditions of delivering women and their outcomes in the general population in the Russian- Norwegian arctic area, including assessment of ... -
Dietary data in the Norwegian Women and Cancer Study : validation and analyses of health related aspects
(Doctoral thesis; Doktorgradsavhandling, 2000)The objectives of the present thesis were to design a semi-quantitative food frequency questionnaire for use in epidemiological research among Norwegian women, to validate certain components of the dietary data, to collect dietary data from a large nation-wide sample of women, and to analyse selected nutritional aspects related to health, both cross-sectionally and prospectively. The data are ... -
The potential for reducing inappropriate hospital admissions : a study of health benefits and costs in a department of internal medicine
(Doctoral thesis; Doktorgradsavhandling, 1999)Inappropriate hospital admissions are defined as those which do not result in health benefit for the patient or in such benefit that could have been obtained on a lower care level. Studies from many parts of the world have reported high rates of such admissions. It is commonly believed that they represent a potential for significant cost reductions. However, this assumes that they can be identified ... -
No går det på helsa laus : helse, sykdom og risiko for sykdom i to nord-norske kystsamfunn
(Doctoral thesis; Doktorgradsavhandling, 1998)The present thesis shows how ordinary people experience the process of medicalization in their everyday life. The thesis describes how health and iliness is resolved, and how they solve their daily health problems. <p>The data presented is from two villages on the coast of Northern Norway. The study from Nordfjord examines how people change their attitude to iliness, health and health-care over time. ... -
Vilkår for begrepsdannelse og praksis i psykiatri : en filosofisk undersøkelse
(Others; Andre, 1996)Det begrensede siktemålet med denne avhandlingen, er å gi en oversikt over sentrale vilkår for psykiatrisk begrepsdannelse og praksis. En slik oversikt vil dog forhåpentligvis gjøre det enklere å bedømme hvilke spørsmål det er viktig å stille, i en klargjøring av psykiatriens potensiale som forvalter av intensjonen om lydhørhet overfor den Andres smerte.