Institutt for samfunnsmedisin: Nye registreringer
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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 ... -
Prevalence of metabolic syndrome and diabetes mellitus in Sami and Norwegian populations. The SAMINOR—a cross-sectional study
(Journal article; Tidsskriftartikkel; Peer reviewed, 2016-04-22)Objectives: Metabolic syndrome (MetS) is recognised as a reliable long-term predictor of adverse health outcomes. Elevated prevalence rates of MetS and chronic lifestyle diseases have been documented in different indigenous groups. We aimed to evaluate the prevalence of MetS and diabetes mellitus in relation to ethnicity in Northern Norway. In addition, we discussed different cut-off values for waist ... -
Impact of referral templates on patient experience of the referral and care process: A cluster randomised trial
(Journal article; Tidsskriftartikkel; Peer reviewed, 2016-10-24)Objectives: To evaluate if a referral intervention improves the patient experience of the referral and treatment process. <p>Setting: Interface between 14 primary care surgeries and a district general hospital. <p>Participants: The 14 general practitioner (GP) surgeries (7 intervention, 7 control) in the area around the University Hospital of North Norway Harstad were randomised and all completed ... -
Alcohol consumption over time and mortality in the Swedish Women’s Lifestyle and Health cohort
(Journal article; Tidsskriftartikkel; Peer reviewed, 2016-11-02)Alcohol consumption is steadily increasing in high-income countries but the harm and possible net benefits of light-to-moderate drinking remain controversial. We prospectively investigated the association between time-varying alcohol consumption and overall and cause-specific mortality among middle- aged women. <p> Methods: Among 48 249 women at baseline (33 404 at follow-up) in the prospective ... -
Realist review: Current practice and future prospects
(Journal article; Tidsskriftartikkel; Peer reviewed, 2016-07-08)Realist review has emerged as a specific literature review approach that is concerned with explaining the outcomes of complex intervention programs. We undertook a systematic scoping review to examine the current practice of realist reviews. A systematic scoping review is a process of mapping the existing evidence base on a particular topic. We identified ... -
Flavonoid and lignan intake and pancreatic cancer risk in the European prospective investigation into cancer and nutrition cohort
(Journal article; Tidsskriftartikkel; Peer reviewed, 2016-06-10)Despite the potential cancer preventive effects of flavonoids and lignans, their ability to reduce pancreatic cancer risk has not been demonstrated in epidemiological studies. Our aim was to examine the association between dietary intakes of flavonoids and lignans and pancreatic cancer risk in the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort. A total of 865 exocrine ... -
Trail Blazing or Jam Session? Towards a new Concept of Clinical Decision-Making
(Journal article; Tidsskriftartikkel; Peer reviewed, 2016-11-17)Clinical decision-making (CDM) is key in learning to be a doctor as the defining activity in their clinical work. CDM is often portrayed in the literature as similar to ‘trail blazing’; the doctor as the core agent, clearing away obstacles on the path towards diagnosis and treatment. However, in a fieldwork of young doctors in Denmark, it was difficult connect their practice to this image. This ... -
Physical activity and risk of Amyotrophic Lateral Sclerosis in a prospective cohort study
(Journal article; Tidsskriftartikkel; Peer reviewed, 2016-03-11)Previous case–control studies have suggested a possible increased risk of Amyotrophic Lateral Sclerosis (ALS) with physical activity (PA), but this association has never been studied in prospective cohort studies. We therefore assessed the association between PA and risk of death from ALS in the European Prospective Investigation into Cancer and Nutrition. A total of 472,100 individuals were included ... -
Effect of major lifestyle risk factors, independent and jointly, on life expectancy with and without cardiovascular disease: results from the Consortium on Health and Ageing Network of Cohorts in Europe and the United States (CHANCES)
(Journal article; Tidsskriftartikkel; Peer reviewed, 2016-01-18)Seldom have studies taken account of changes in lifestyle habits in the elderly, or investigated their impact on disease-free life expectancy (LE) and LE with cardiovascular disease (CVD). Using data on subjects aged 50+ years from three European cohorts (RCPH, ESTHER and Tromsø), we used multi-state Markov models to calculate the independent and joint effects of smoking, physical activity, obesity ... -
Coffee consumption and the risk of cancer in the Norwegian Women and Cancer (NOWAC) study
(Journal article; Tidsskriftartikkel; Peer reviewed, 2016-03-24)An association between coffee consumption and cancer has long been investigated. Coffee consumption among Norwegian women is high, thus this is a favorable population in which to study the impact of coffee on cancer incidence. Information on coffee consumption was collected from 91,767 women at baseline in the Norwegian Women and Cancer Study. These information were applied until follow-up information ... -
Comparison of abdominal adiposity and overall obesity in relation to risk of small intestinal cancer in a European Prospective Cohort
(Journal article; Tidsskriftartikkel; Peer reviewed, 2016-06-13)Background: The etiology of small intestinal cancer (SIC) is largely unknown, and there are very few epidemiological studies published to date. No studies have investigated abdominal adiposity in relation to SIC. <p>Methods: We investigated overall obesity and abdominal adiposity in relation to SIC in the European Prospective Investigation into Cancer and Nutrition (EPIC), a large prospective ... -
Pre-diagnostic meat and fibre intakes in relation to colorectal cancer survival in the European Prospective Investigation into Cancer and Nutrition
(Journal article; Tidsskriftartikkel; Peer reviewed, 2016-05-19) -
Genome-wide DNA methylation in saliva and body size of adolescent girls
(Journal article; Tidsskriftartikkel; Peer reviewed, 2016-10-20)Aim:<br>We performed an epigenome-wide association study within the Finnish Health in Teens cohort to identify differential DNA methylation and its association with BMI in adolescents.<br>Materials & methods:<br>Differential DNA methylation analyses of 3.1 million CpG sites were performed in saliva samples from 50 lean and 50 heavy adolescent girls by genome-wide targeted bisulfite-sequencing.<br> ...