Läkartidningen
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Randomized Controlled Trial Comparative Study Clinical Trial
[Home care for elderly cancer patients. More intensive follow-up and home services reduce the need of specialist care].
The effects of intensified primary health care were examined in the "Support-Care-Rehabilitation" project conducted in Uppsala county 1993-1997. Intensified primary health care was one part of an individual support intervention and comprised extended information about patients from the specialist clinics, and education and supervision in cancer care for GPs and home care nurses. The aim was to improve the ability of general practitioners and home care nurses to monitor and support cancer patients. ⋯ About 90% of intensified primary health care patients reported such contacts, compared to 26% of control patients. The number of days of hospitalization at the specialist clinics for elderly patients (> or = 70 yr.) randomized to the intervention group were 393 less than for elderly controls three months after diagnosis. The conclusion is that intensified primary health care constitutes a cost-effective strategy for enhancing co-operation between home care, primary health care and specialist clinics.
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Data from the Swedish Hospital Discharge Registry were analysed, years 1987-1994 inclusive. The registry includes all living patients admitted to Swedish hospitals. Patients admitted after moped or motor-cycle accidents were studied. ⋯ The incidence of hospital admission after accidents did not change over time in mopedists, but decreased in motorcyclists. Accidents involving both types of vehicles occurred more commonly in the countryside. High age and male sex was associated with increased mortality in mopedists, while high age and being a passenger was associated with higher death rates in admitted motor-cyclists.
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Biography Historical Article
[Primus Mortimer Pettersson--one of our leading naivists. He created a world of beauty, tranquility and alarm].