Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke最新文献_第2页

IF 1.1

Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke Pub Date : 2022-10-10 Print Date: 2022-10-11 DOI: 10.4045/tidsskr.22.0613

Sigurd Ziegler

引用次数: 0

Coercion in the ambulance setting. 救护车环境中的胁迫。

IF 1.1

Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke Pub Date : 2022-10-10 Print Date: 2022-10-11 DOI: 10.4045/tidsskr.22.0086

Nina Øye Thorvaldsen, Anne Kristine Bergem, Øyvind Holst, Kristin Häikiö

{"title":"Coercion in the ambulance setting.","authors":"Nina Øye Thorvaldsen, Anne Kristine Bergem, Øyvind Holst, Kristin Häikiö","doi":"10.4045/tidsskr.22.0086","DOIUrl":"https://doi.org/10.4045/tidsskr.22.0086","url":null,"abstract":"Background: Patients who resist medical assistance can undo the safety straps on the ambulance stretcher. Ambulance personnel have been known to make use of blankets, bandages and Velcro straps to restrain patients in transit. This study aims to establish how often this type of coercion is used.Material and method: In 2021, approximately 400 ambulance service personnel in the county of Innlandet were invited by email to take part in an online survey about the use of coercion vis-à-vis patients who resist medical assistance.Results: We received 85 responses, and 62 respondents (72.9 %) stated that they had used coercion. Of these, 38 (44.7 %) had restrained the arms/legs of patients using blankets, bandages or Velcro straps in order to keep them safe while in transit. A total of 36 respondents (42.4 %) had observed other personnel travelling in an ambulance without a fastened seatbelt in order to maintain patient safety during transit.Interpretation: The results clearly show that ambulance personnel regularly use coercion when patients who resist their help are transported by ambulance. There is a need to discuss how such ambulance services can be provided in a safe, secure and caring way.","PeriodicalId":520817,"journal":{"name":"Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2022-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33504382","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}

引用次数: 2

Supplementary drug treatment to reduce weight in adolescents with severe obesity. 补充药物治疗减轻青少年严重肥胖的体重。

IF 1.1

Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke Pub Date : 2022-10-04 Print Date: 2022-10-11 DOI: 10.4045/tidsskr.22.0540

Johannes Rolin, Rønnaug Astri Ødegård, Viktoria Vedeler Amundsen, Unni Mette Stamnes Köpp, Ane Kokkvoll, Pétur Benedikt Júlíusson, Jøran Hjelmesæth

引用次数: 1

Surgical treatment of infectious ulnar artery aneurysm. 感染性尺动脉动脉瘤的外科治疗。

IF 1.1

Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke Pub Date : 2022-10-04 Print Date: 2022-10-11 DOI: 10.4045/tidsskr.22.0137

Jon Huge Hognestad, Stein Arve Lund, Svein Tore Baksaas

引用次数: 0

Systematic screening of substance use upon hospitalisation. 住院时对药物使用情况进行系统筛查。

IF 1.1

Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke Pub Date : 2022-10-03 Print Date: 2022-10-11 DOI: 10.4045/tidsskr.22.0481

A Armika T Nyman, Vigdis Vindenes, Rune Tore Strøm, Sasa Katadzic, Ingebjørg Gustavsen, Stig Tore Bogstrand

引用次数: 0

A farewell to psychiatric diagnoses. 告别精神病诊断。

IF 1.1

Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke Pub Date : 2022-09-26 Print Date: 2022-09-27 DOI: 10.4045/tidsskr.22.0386

Trond F Aarre

引用次数: 0

Genotyping of patients treated with selective serotonin reuptake inhibitors. 选择性血清素再摄取抑制剂治疗患者的基因分型。

IF 1.1

Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke Pub Date : 2022-09-26 Print Date: 2022-09-27 DOI: 10.4045/tidsskr.22.0017

Vigdis Solhaug, Tore Haslemo, Marianne Kristiansen Kringen, Espen Molden, Erik Sveberg Dietrichs

{"title":"Genotyping of patients treated with selective serotonin reuptake inhibitors.","authors":"Vigdis Solhaug, Tore Haslemo, Marianne Kristiansen Kringen, Espen Molden, Erik Sveberg Dietrichs","doi":"10.4045/tidsskr.22.0017","DOIUrl":"https://doi.org/10.4045/tidsskr.22.0017","url":null,"abstract":"Background: Selective serotonin reuptake inhibitors (SSRIs) are used by over 180,000 people in Norway. The enzymes CYP2D6 and CYP2C19 are key in the metabolism of SSRI antidepressants. The serotonin transporter coded by SLC6A4 may be significant for the efficacy of the drugs.Material and method: All patients who had undergone genotyping for CYP2D6, CYP2C19 and SLC6A4 at the Centre for Psychopharmacology in 2020 were included, irrespective of indication. For those patients where data were available, CYP2C19 genotype was linked to serum concentration measurement of escitalopram, which is the most commonly used SSRI drug.Results: Out of 3,492 patients, 432 (12.4 %) had a combination of genotypes of CYP2D6, CYP2C19 and SLC6A4 considered to lead to the most favourable metabolism and efficacy of SSRI antidepressants. The dose requirement in patients with poor CYP2C19 metabolism was more than halved to achieve the same concentration of escitalopram compared to patients with normal metabolism.Interpretation: Our findings demonstrate the low prevalence of the most favourable genotype combination for response to SSRIs. Genotype combinations probably contribute to the wide variation between individuals in the efficacy of these drugs and the fact that treatment does not produce the desired outcome in many patients.","PeriodicalId":520817,"journal":{"name":"Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2022-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40377814","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}

引用次数: 2

Measurements below the detection limit. 低于检测限的测量值。

IF 1.1

Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke Pub Date : 2022-09-19 Print Date: 2022-09-27 DOI: 10.4045/tidsskr.22.0439

Guro F Giskeødegård, Stian Lydersen

引用次数: 0

A woman in her fifties with a lump in the palm of her hand. 一个五十多岁的女人，手掌有个肿块。

IF 1.1

Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke Pub Date : 2022-09-05 Print Date: 2022-09-06 DOI: 10.4045/tidsskr.21.0830

Ole-Gunnar Olsen, Rasmus Dehli Thorkildsen, Olga Zaikova, Ingvild Victoria Koren Lobmaier, Ingeborg Taksdal, Magne Røkkum

引用次数: 0

Fylkesforskjeller i utredning og behandling av vitamin B12-mangel. 填补维生素B12缺乏症调查和治疗中的差异。

IF 1.1

Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke Pub Date : 2022-09-05 Print Date: 2022-09-06 DOI: 10.4045/tidsskr.21.0749

Gunnar Mouland, Christian Lie Berg, Mohammad Nouri Sharikabad, Hilchen Thode Sommerschild

{"title":"Fylkesforskjeller i utredning og behandling av vitamin B12-mangel.","authors":"Gunnar Mouland, Christian Lie Berg, Mohammad Nouri Sharikabad, Hilchen Thode Sommerschild","doi":"10.4045/tidsskr.21.0749","DOIUrl":"https://doi.org/10.4045/tidsskr.21.0749","url":null,"abstract":"Background: Severe vitamin B12 (cobalamin) deficiency is rare, but international reports show that up to 26 % of the general population may have subclinical vitamin B12 deficiency. The prevalence of vitamin B12 deficiency has not been investigated in Norway. Since 2017, treatment with vitamin B12 tablets has represented an alternative to traditional treatment with intramuscular injections in Norway. When we studied the transition from injection to tablet treatment, we discovered an unexpected difference in the counties' use of vitamin B12 supplements, which we wished to investigate in more detail.Material and method: Data on the dispensing of vitamin B12 supplements from pharmacies in 2020, broken down by the patients' county of residence, were retrieved from the Norwegian Prescription Database. The Norwegian Health Economics Administration (Helfo) provided figures on the number of reimbursed vitamin B12-related laboratory tests in 2020, classified by patients' municipality of residence.Results: In 2020, the sale of vitamin B12 supplements on prescription in Norway amounted to 12 defined daily doses (DDD) per inhabitant and varied from 7 to 15 between the counties. The number of laboratory analyses that were performed varied by county from 26 to 46 per 100 inhabitants for total vitamin B12, and from 21 to 37 for folate. The number of analyses varied correspondingly from 1 to 12 per 100 inhabitants for homocysteine, from 1 to 13 for methylmalonic acid and from 0.01 to 8.13 for active vitamin B12.Interpretation: Our study showed large intercounty differences in the consumption of vitamin B12 supplements. These differences may have a number of explanations. Variations in the number of vitamin B12-related laboratory analyses requisitioned may indicate that doctors' assessment and diagnosis of vitamin B12 deficiency could be a contributory factor.","PeriodicalId":520817,"journal":{"name":"Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2022-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40353196","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}

引用次数: 0