Anna Armika Tussilago Nyman, Stig Tore Bogstrand, Thomas Clausen, Hilde Marie Erøy Edvardsen
{"title":"Toxicological findings in overdose suicides 2016-21.","authors":"Anna Armika Tussilago Nyman, Stig Tore Bogstrand, Thomas Clausen, Hilde Marie Erøy Edvardsen","doi":"10.4045/tidsskr.23.0836","DOIUrl":"https://doi.org/10.4045/tidsskr.23.0836","url":null,"abstract":"<p><strong>Background: </strong>More than 300 people die from an overdose each year in Norway, and the trend is rising. The proportion of suicides among overdose deaths has been 11-20 % over the past ten years, with the annual figure remaining relatively stable. The purpose of this study was to describe the demographics as well as the medications and substances used in overdose suicides.</p><p><strong>Material and method: </strong>Data from forensic toxicology analyses performed at the Department of Forensic Medicine, Oslo University Hospital, were linked to the Cause of Death Registry. The cause and manner of death from the Cause of Death Registry were used to identify overdose suicides in Norway in the period 1 January 2016-31 December 2021.</p><p><strong>Results: </strong>A total of 1383 overdoses were recorded in the dataset, and suicide was the cause of death in 251/1383 (18.1 %) cases. The average age was 51 years (± 16 years), and 135/251 (54 %) were women. Opioids were found in 235/251 (94 %) cases, with the most common being codeine (67/251; 27 %), oxycodone (63/251; 25 %) and tramadol (60/251; 24 %). In cases where opioids were found, benzodiazepines and/or z-hypnotics were identified in 181/235 (77 %) cases. A total of 109/251 (43 %) had taken antidepressants.</p><p><strong>Interpretation: </strong>Autopsies following an overdose suicide often revealed more than one psychoactive medication with addiction potential, in addition to an antidepressant. These medications are used for chronic pain, sleep disturbances, anxiety and depression, as well as to treat substance use.</p>","PeriodicalId":23123,"journal":{"name":"Tidsskrift for Den Norske Laegeforening","volume":"145 2","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143391931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Overdose suicides and prescription drugs.","authors":"Mari Asphjell Bjørnaas","doi":"10.4045/tidsskr.25.0037","DOIUrl":"https://doi.org/10.4045/tidsskr.25.0037","url":null,"abstract":"","PeriodicalId":23123,"journal":{"name":"Tidsskrift for Den Norske Laegeforening","volume":"145 2","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143391923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Overdiagnostikk ved mammografiscreening.","authors":"Per-Henrik Zahl","doi":"10.4045/tidsskr.24.0668","DOIUrl":"https://doi.org/10.4045/tidsskr.24.0668","url":null,"abstract":"","PeriodicalId":23123,"journal":{"name":"Tidsskrift for Den Norske Laegeforening","volume":"145 2","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143391920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Helene Helgeland, Linn Okkenhaug Getz, Linn Breen Herner, Erlend Bøen, Sverre Myren
{"title":"The term functional disorders should be revitalised.","authors":"Helene Helgeland, Linn Okkenhaug Getz, Linn Breen Herner, Erlend Bøen, Sverre Myren","doi":"10.4045/tidsskr.24.0573","DOIUrl":"https://doi.org/10.4045/tidsskr.24.0573","url":null,"abstract":"","PeriodicalId":23123,"journal":{"name":"Tidsskrift for Den Norske Laegeforening","volume":"145 2","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143391926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Magne Solberg Nes, Jogrim Søyland, Mette Haugen, Christian Vedeler
{"title":"En mann i 70-årene med svekket kraft og følelse i beina.","authors":"Magne Solberg Nes, Jogrim Søyland, Mette Haugen, Christian Vedeler","doi":"10.4045/tidsskr.24.0288","DOIUrl":"https://doi.org/10.4045/tidsskr.24.0288","url":null,"abstract":"<p><strong>Background: </strong>Over the last decade, antibodies targeting proteins at the node of Ranvier have been described in a subgroup of patients with autoimmune neuropathies, known as nodopathies. These disorders present an important differential diagnosis to chronic inflammatory demyelinating polyneuropathy (CIDP) due to the clinical overlap and the differences in treatment needed.</p><p><strong>Case presentation: </strong>A previously healthy man in his seventies presented with a two-week history of mild paresis, diffuse sensory reduction and diminished tendon reflexes in the lower limbs. Findings from an MRI scan of the spinal cord were normal, but a spinal tap revealed albuminocytological dissociation. Neurography indicated acute motor sensory axonal neuropathy (AMSAN), leading to the patient being treated with IVIG.</p><p><strong>Interpretation: </strong>Para/nodopathies present important differential diagnoses to CIDP, as they do not respond to conventional treatments. Accurate diagnosis is crucial, as the treatment approach differs but is effective for both groups.</p>","PeriodicalId":23123,"journal":{"name":"Tidsskrift for Den Norske Laegeforening","volume":"145 2","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143391873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mattis Bekkelund, Frederik Emil Juul, Olav Sandstad, Jørgen Valeur
{"title":"Bakteriell overdiagnostikk i tynntarm.","authors":"Mattis Bekkelund, Frederik Emil Juul, Olav Sandstad, Jørgen Valeur","doi":"10.4045/tidsskr.24.0655","DOIUrl":"https://doi.org/10.4045/tidsskr.24.0655","url":null,"abstract":"","PeriodicalId":23123,"journal":{"name":"Tidsskrift for Den Norske Laegeforening","volume":"145 2","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143391863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Healthcare speech for primary and specialist care.","authors":"Tone Enden","doi":"10.4045/tidsskr.25.0048","DOIUrl":"https://doi.org/10.4045/tidsskr.25.0048","url":null,"abstract":"","PeriodicalId":23123,"journal":{"name":"Tidsskrift for Den Norske Laegeforening","volume":"145 2","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143391889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Juvenilt vårutslett.","authors":"Jakob Lillemoen Drivenes, Anette Bygum","doi":"10.4045/tidsskr.24.0323","DOIUrl":"https://doi.org/10.4045/tidsskr.24.0323","url":null,"abstract":"","PeriodicalId":23123,"journal":{"name":"Tidsskrift for Den Norske Laegeforening","volume":"145 2","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143391895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Hjemme(p)sykehus for barn og unge.","authors":"Anne Benedicte Skirbekk, Tone Ikdahl","doi":"10.4045/tidsskr.24.0625","DOIUrl":"https://doi.org/10.4045/tidsskr.24.0625","url":null,"abstract":"","PeriodicalId":23123,"journal":{"name":"Tidsskrift for Den Norske Laegeforening","volume":"145 2","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143391891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Lymfeknuter er verken kjertler eller glandler.","authors":"Erik Dissen, Erlend Hem","doi":"10.4045/tidsskr.24.0241","DOIUrl":"https://doi.org/10.4045/tidsskr.24.0241","url":null,"abstract":"","PeriodicalId":23123,"journal":{"name":"Tidsskrift for Den Norske Laegeforening","volume":"145 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143012190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}