ISM skriftserie: Nye registreringer
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Psoriasis, overweight and metabolic syndrome. The Tromsø Study
(Doctoral thesis; Doktorgradsavhandling, 2014-05-28)Recently it has been suggested that the chronic inflammatory disease psoriasis is more than skin deep, as it has been associated with several comorbid conditions, including diabetes and cardiovascular disease. Increasing prevalence of psoriasis has been observed, possibly due to changes in lifestyle. Within the population-based Tromsø study cohort, we found an increase in the self-reported prevalence ... -
Experiences with outpatient commitment orders from the perspectives of patients, relatives and staff - A qualitative study
(Doctoral thesis; Doktorgradsavhandling, 2016-10-27)Compulsory outpatient psychiatric care or outpatient commitment (OC) is intended to ensure treatment of people with severe psychotic disorders after discharge from inpatient care. Although OC has long been used in Norway, there is little research-based knowledge of the extent and content of the scheme and a particular lack of knowledge of the experiences of those involved. The studies are based on ... -
Potato consumption and risk of colorectal and pancreatic cancer. The Norwegian Women and Cancer cohort and the HELGA cohort.
(Doctoral thesis; Doktorgradsavhandling, 2016-10-14)Summary The present work includes participants from two cohorts: The Norwegian Women and Cancer (NOWAC) study (paper 1 and 2) and the HELGA study (paper 3). The NOWAC Study is a population-based prospective cohort study that started data collection in 1991, and consists of more than 172,000 women. The HELGA study is a population-based Scandinavian cohort, consisting of 119,978 men and women from: ... -
Suicides in the Nenets Autonomous Okrug, Russia.
(Doctoral thesis; Doktorgradsavhandling, 2016-10-25)This is a study of suicides in the Nenets Autonomous Okrug (NAO), a region with a large proportion of indigenous Nenets. To our knowledge, this is the first study investigating the problem of suicide in the indigenous and non-indigenous populations of the Russian Arctic. Our study aim was to assess suicide rates in the indigenous and non-indigenous populations of the NAO, as well as the socio-demographic ... -
Concentrations and predictors of persistent organic pollutants in pregnant women and associations with maternal and infant thyroid homeostasis. The Northern Norway Mother-and-Child Contaminant Cohort Study
(Doctoral thesis; Doktorgradsavhandling, 2015-12-10)During the 20th century, humans have been exposed to an increasing number of persistent organic pollutants (POPs). However, due to restrictions on use and the banning of several POPs, environmental concentrations of POPs have generally decreased since the 1980s. POPs are transferred to humans primarily through diet and are transferred from the mother to the foetus during pregnancy and to infants ... -
Use of analgesics in the general population: Trends, persistence, high-risk use and associations with pain sensitivity
(Doctoral thesis; Doktorgradsavhandling, 2016-08-19)Background: Analgesics are commonly used drugs but we are lacking knowledge of trends, persistence, high-risk use and the association with pain sensitivity at a population-level. Purpose: To describe the use of analgesics, particularly persistent analgesic use, in a general population (30+ years), including change over time, contraindications and drug interactions, risk factors, and associations ... -
The Northern Norway Mother-and-Child Contaminant Cohort Study (MISA): Population Characteristics, Dietary Intake and Predictors of Organochlorine Contaminants in Meconium and Maternal Serum, and of Essential and Toxic Elements in Mothers’ Whole Blood
(Doctoral thesis; Doktorgradsavhandling, 2016-03-03)Persistent Organic Pollutants (POPs) and toxic elements are released into the environment and are carried to the Arctic area via the atmosphere, oceanic currents and rivers. They have the ability to accumulate in nature and bioconcentrate in the human food chain. The primary exposure route for these contaminants is through diet, and thus circulating levels in pregnant women can give an indication ... -
Atrial fibrillation in The Tromsø Study 1994-2007. Risk factors, occurrence and gender differences.
(Doctoral thesis; Doktorgradsavhandling, 2016-01-14)Summary Atrial fibrillation (AF) is a common cardiac arrhythmia, which increases morbidity and mortality and thereby imposes high health costs on society. The prevalence of AF has increased for several decades, and is expected to increase further, with the rising numbers of elderly people and survivors of heart diseases. Several risk factors for AF related to genetics and diseases have been ... -
Comparisons of sickness absence patterns, trends and attitudes in the health and care sectors in two municipalities in Norway and Denmark.
(Doctoral thesis; Doktorgradsavhandling, 2016-02-11)Sickness absence is of great concern in most Western societies and has huge economic and social consequences. The Scandinavian countries, especially Norway, have high sickness absence rates. In both Norway and Denmark, the highest sickness absence rates are found in the health and care sector. The aims of this doctoral thesis are to compare the sickness absence patterns of municipal employees in the ... -
Sámi ethnicity as a variable. Premises and implications for population-based studies on health and living conditions in Norway
(Doctoral thesis; Doktorgradsavhandling, 2015-11-04)Summary: The use of Sámi ethnicity as a variable in studies aiming at quantitative knowledge on health and living conditions at the population level in contemporary Norway is challenged by in-sufficient Sámi-demographic data and blurred Sámi-ethnic boundaries. Based on the premise that the Sámi can be conceptualized as an ethnic group which is also an indigenous people, this thesis explores aspects ... -
Remuneration and organization in general practice: Three essays on doctors' preferences
(Doctoral thesis; Doktorgradsavhandling, 2015-10-16)The need for recruiting and retaining general practitioners (GPs) is expected to increase substantially in the next years, both because of an ageing population and a reform suggesting to shift more resources to primary care. This will not only reinforce the current challenge of recruitment and retention in rural areas, but it may also make it more difficult to recruit and retain GPs in urban areas. ... -
Understanding temporality in human concentrations of organic contaminants -Considering human concentrations over time and through life in perspective of historic production and use
(Doctoral thesis; Doktorgradsavhandling, 2014-06-25)Modern human lifestyle depends on a great number of synthetic chemicals and many designated as persistent organic pollutants (POPs). There are concerns for harmful health effects of POPs even for the background exposure experienced by the general population and especially for foetuses and children. The overarching aim of this thesis was to enhance our understanding of how human concentrations of ... -
Persistent post-surgical pain: Prevalence, risk factors and pain mechanisms
(Doctoral thesis; Doktorgradsavhandling, 2015-09-18)Persistent pain is reported to be a frequent complication from surgery. Among the proposed risk factors are perioperative nerve injury and individual differences in pain sensitivity. The 6th Tromsø Study, a cross-sectional survey and medical examination, provided questionnaire data on persistent pain in general and persistent pain following surgery in particular. Participants performed tests of ... -
“Light my fire” - Perspectives on Motivation, Helpfulness and Implementation of Guided Internet-based Cognitive Behavioral therapy.
(Doctoral thesis; Doktorgradsavhandling, 2015-03-13)Depression is common and imposes tremendous burdens for patients, their family and society. Implementation of internet-based cognitive behavioural therapy (ICBT) within general practice is recommended. Better results have been shown for treatment with ICBT when support is given, and therefore there is interest in exploring guided ICBT as an affordable alternative for treatment in the early stage ... -
General Practitioners’ Decisions to Refer Patients to Secondary Care – Referral Rates, Reasons for Referral and Expected Medical Benefit of the Referrals
(Doctoral thesis; Doktorgradsavhandling, 2015-04-09)Summary Background The referral rates of general practitioners (GPs) are an important determinant of secondary care utilisation. The considerable variation in these rates between GPs cannot be explained by patient morbidity alone. Other factors, like health care organisation, GP characteristics and patient preference play an important role, but the extent of their mutual contributions is not ... -
Pulse oximetry in an adult population: Predictors of low oxygen saturation and associations with mortality; The Tromsø Study
(Doctoral thesis; Doktorgradsavhandling, 2015-03-19)Pulsoksymetri er en enkel undersøkelsesmetode for å beregne metningen av oksygen (O2) i arterielt blod (SpO2). Lave verdier kan være indikasjon på hjerte- og/eller lungesykdom. Ingen befolkningsundersøkelser har tidligere sett på oksygenmetning i en voksen befolkning. Avhandlingen er basert på de to befolkningsundersøkelsene, Tromsø 5 (2001/2002) og Tromsø 6 (2007/2008). I disse ble det gjort ... -
The use of self-administered questionaires about food habits.
(Doctoral thesis; Doktorgradsavhandling, 1988) -
Diagnosis of pneumonia in adults in general practice.
(Doctoral thesis; Doktorgradsavhandling, 1992) -
Aspects of breast cervical cancer screening
(Doctoral thesis; Doktorgradsavhandling, 1992)The purpose of the thesis was to investigate aspects of breast cancer screening such as the feasibility, non-attendance and adverse effects of a general mammography screening program. A second objective was to examine whether risk factors for cervical neoplasia could be identified for potential utilization in a selective screening program for cervical cancer. -
Headache and neck or shoulderpain. An analysis of musculoskeletal problems in three comprehensive population studies in Northern Norway.
(Doctoral thesis; Doktorgradsavhandling, 1992)