Blar i tittel Artikler, rapporter og annet (klinisk medisin)
Viser treff 1220-1239 av 1796
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Pasientsikkerhet i sykehus – kunnskap eller kampanje?
(Research report; Forskningsrapport, 2007)Helse Øst RHF har bedt Kunnskapssenteret om å vurdere dokumentasjonen for de seks satsingsområdene kampanjen fokuserer på: Etablere 'Rapid response team' (ekspertgruppe som tilkalles ved forverret tilstand hos pasienter) gjennomføre evidensbaserte behandlingstiltak for alle hjerteinfarktpasienter, forebygge legemiddelrelaterte pasientskader, forebygge postoperative sårinfeksjoner, forebygge ... -
Pasientvolum og behandlingskvalitet ved hjerte- og karsykdommer
(Research report; Forskningsrapport, 2007)Kunnskapssenteret har gjennomgått og sammenstilt forskningen om pasientvolum og behandlingskvalitet med grunnlag i litteratur for perioden 2001–2006. Denne delrapporten tar for seg behandling av hjerte- og karsykdommer.The influence of hospital or physician volume on qality of health care -
Patient satisfaction with conventional, complementary, and alternative treatment for cluster headache in a Norwegian cohort
(Journal article; Tidsskriftartikkel; Peer reviewed, 2014) -
Patient-tailored levothyroxine dosage with pharmacokinetic/pharmacodynamic modeling: A novel approach after total thyroidectomy
(Journal article; Tidsskriftartikkel; Peer reviewed, 2021-09-07)Background: After seven decades of levothyroxine (LT4) replacement therapy, dosage adjustment still takes several months. We have developed a decision aid tool (DAT) that models LT4 pharmacometrics and enables patient-tailored dosage. The aim of this was to speed up dosage adjustments for patients after total thyroidectomy.<p> <p>Methods: The DAT computer program was developed with a group of 46 ... -
Patients with depression display cytokine levels in serum and cerebrospinal fluid similar to patients with diffuse neurological symptoms without a defined diagnosis
(Journal article; Tidsskriftartikkel; Peer reviewed, 2016-04-13)INTRODUCTION: Several reports indicate that inflammation may play a role in depression and demonstrate enhanced systemic levels of inflammatory mediators. We hypothesized that 44 patients with a diagnosis of depression would present with a specific and different serum and cerebrospinal fluid (CSF) cytokine profile compared to 21 patients with diffuse neurological symptoms, of whom 15 had fatigue as ... -
Patients' experiences of remote communication after pacemaker implant: The NORDLAND study
(Journal article; Tidsskriftartikkel; Peer reviewed, 2019-06-20)<i>Background</i> - The concept of ‘patient experience’ has become central to how to improve healthcare. Remote communication with patients is today a frequent practice in healthcare services, showing similar outcomes to standard outpatient care while enabling cost reduction in both formal and informal care. The purpose of this study was to analyse the experiences of people with telemonitoring ... -
Patterns of Care and Survival in Cancer Patients with Brain Metastases Receiving Immune Checkpoint Inhibitors
(Journal article; Tidsskriftartikkel; Peer reviewed, 2023-02-15)Introduction: Immune checkpoint inhibitors (ICIs) have become a mainstay of treatment for different cancer types. The purpose of this study was to evaluate patterns of care and overall survival (OS) after diagnosis of brain metastases in patients managed with ICI as component of care. Methods: This was a retrospective cohort study. Fifty patients were included (34 with brain metastases at first ... -
Peak longitudinal strain most accurately reflects myocardial segmental viability following acute myocardial infarction - an experimental study in open-chest pigs
(Journal article; Tidsskriftartikkel; Peer reviewed, 2012)The extension and the transmurality of the myocardial infarction are of high predictive value for clinical outcome. The aim of the study was to characterize the ability of longitudinal, circumferential and radial strain measured by 2-dimensional speckle tracking echocardiography (2D-STE) to predict the extent of necrosis in myocardial segments following acute myocardial infarction and to separate ... -
The Pedicled LICAP Flap Combined with a Free Abdominal Flap In Autologous Breast Reconstructions
(Journal article; Tidsskriftartikkel; Peer reviewed, 2018-01-01)Background: <br>Previous surgery or slim body configuration can limit the size of the available abdominal flap in autologous breast reconstruction. However, redundant skin and subcutaneous tissue lateral to the mastectomy site can be utilized as the pedicled lateral intercostal artery perforator (LICAP) flap. This study evaluates the combination of a free abdominal flap and a pedicled LICAP ... -
Pembrolizumab as second-line therapy in non-small cell lung cancer in northern Norway: budget impact and expected gain—a model-based analysis
(Journal article; Tidsskriftartikkel; Peer reviewed, 2017-07-29)1 Norum J, et al . ESMO Open 2017; 2 :e000222. doi:10.1136/esmoopen-2017-000222 Open Access Abstr A ct Background P embrolizumab is a new drug approved in several countries for second-line therapy in non-small cell lung cancer (NSCLC) being programmed cell death ligand (PD-L1) positive. This drug has a high cost, and the cost- effectiveness ratio has been debated. Patients ... -
Penicillin for enhver pris?
(Journal article; Tidsskriftartikkel; Peer reviewed, 2023-06-26)Barn i trassalderen og bitre penicillinblandinger fire ganger i døgnet er en vanskelig kombinasjon. Smalspektret antibiotika er gullstandarden, men må balanseres opp mot barnets ubehag og etterlevelse av behandlingen. -
Perceived autonomy support in telerehabilitation by people with chronic respiratory disease: a mixed methods study
(Journal article; Tidsskriftartikkel; Peer reviewed, 2022-12-24)Background - Autonomy-supportive health environments can assist patients in achieving behavior change and can influence adherence positively. Telerehabilitation may increase access to rehabilitation services, but creating an autonomy-supportive environment may be challenging.<p> <p>Research Question - To what degree does telerehabilitation provide an autonomy-supportive environment? What is the ... -
Percent of remaining life on palliative radiation treatment: solely a function of fractionation?
(Journal article; Tidsskriftartikkel; Peer reviewed, 2023-02-14)Background: This study analyzed the percent of remaining life (PRL) on treatment in patients irradiated for bone metastases. Bone metastases were treated together with other target volumes, if indicated, e.g. a 10-fraction treatment course that included brain and bone metastases. PRL was determined by calculating the time between start and finish of palliative radiotherapy (minimum 1 day in case of ... -
Perforator-guided drug injection at the point of nerve entrapment
(Journal article; Tidsskriftartikkel; Peer reviewed, 2017-02-14)Letter to the Editor -
Perforator-guided drug injection in the treatment of abdominal wall pain
(Journal article; Tidsskriftartikkel; Peer reviewed, 2015-11-25)Background. Pain from the abdominal wall can be caused by nerve entrapment, a condition called abdominal cutaneous nerve entrapment syndrome (ACNES). As an alternative to surgery, ACNES may be treated with injection of local anesthetics, corticosteroids, or botulinum toxin at the point of maximal pain. Method. The point of maximal pain was marked on the abdominal skin. Using color Doppler ultrasound, ... -
Performance of creatinine-based equations to estimate glomerular filtration rate in White and Black populations in Europe, Brazil and Africa
(Journal article; Tidsskriftartikkel; Peer reviewed, 2023-08-24)Background - A new Chronic Kidney Disease Epidemiology Collaboration equation without the race variable has been recently proposed (CKD-EPIAS). This equation has neither been validated outside USA nor compared with the new European Kidney Function Consortium (EKFC) and Lund-Malmö Revised (LMREV) equations, developed in European cohorts.<p> <p>Methods - Standardized creatinine and measured glomerular ... -
Performance of creatinine-based equations to estimate glomerular filtration rate with a methodology adapted to the context of drug dosage adjustment
(Journal article; Tidsskriftartikkel; Peer reviewed, 2021-10-28)<p><i>Aim:</i> The Cockcroft-Gault (CG) creatinine-based equation is still used to estimate glomerular filtration rate (eGFR) for drug dosage adjustment. Incorrect eGFR may lead to hazardous over- or underdosing. <p><i>Methods:</i> In a cross-sectional analysis, CG was validated against measured GFR (mGFR) in 14 804 participants and compared with the Modification-of-Diet-in-Renal-Diseases (MDRD), ... -
Performance of Expanded Newborn Screening in Norway Supported by Post-Analytical Bioinformatics Tools and Rapid Second-Tier DNA Analyses
(Journal article; Tidsskriftartikkel; Peer reviewed, 2020-06-27)In 2012, the Norwegian newborn screening program (NBS) was expanded (eNBS) from screening for two diseases to that for 23 diseases (20 inborn errors of metabolism, IEMs) and again in 2018, to include a total of 25 conditions (21 IEMs). Between 1 March 2012 and 29 February 2020, 461,369 newborns were screened for 20 IEMs in addition to phenylketonuria (PKU). Excluding PKU, there were 75 true-positive ... -
Performance of Norwegian civilian EMTs and army medics in penetrating trauma: a controlled simulation-based assessment
(Journal article; Tidsskriftartikkel; Peer reviewed, 2017-05-25)<p><i>Background</i>: Penetrating trauma kills rapidly. Thorough and efficient examination and aggressive hemorrhage control is important to save lives. The aim of this study was to assess the skills of civilian Emergency Medical Technicians (EMTs) in bleeding examination and control compared to Army Medics. Our hypothesis was that civilian pre‐hospital systems perform at a lower level compared to ... -
Perfusion dynamics in abdominal skin after free abdominal flap breast reconstruction using internal mammary vessels as recipient vessels. A clinical study using Dynamic Infrared Thermography
(Journal article; Tidsskriftartikkel; Peer reviewed, 2017-12-28)Background: Wound healing problems at the donor site in free abdominal flap breast reconstruction cause significant morbidity to patients. No studies have investigated what impact the use of the internal mammary artery in free abdominal flap breast reconstruction has on abdominal skin perfusion. We hypothesized that harvesting the internal mammary vessels (IMV) has a negative effect on abdominal ...