Tidsskrift for den Norske lægeforening : tidsskrift for praktisk medicin, ny række
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Tidsskr. Nor. Laegeforen. · Sep 1995
[Emergency hospital admissions. A survey and consumer assessment of conditions in an emergency department admission office].
159 patients admitted to a local hospital completed a questionnaire during the autumn of 1992 in order to evaluate the service rendered to the patients during their stay in the admission/emergency unit. The patients were generally satisfied with the service rendered in the admission/emergency unit. However, some patients were dissatisfied with the information given by the nurses and the doctors. 83 of the patients (57%) were examined by a doctor within 15 minutes after admission. ⋯ With respect to the patients' rating of different skills among nurses and doctors, only 37% of the patients rated technical competence as the most important factor for the nursing profession, as opposed to 59% for the doctors. For both professions the ability to give information was rated as the second most important factor. Since the comments from the patients reflect parts of the service that can be changed, we believe such surveys can be of great value for the hospitals' efforts to improve the service provided.
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Tidsskr. Nor. Laegeforen. · Sep 1995
Case Reports[Bladder rupture. Diagnosis, etiology and treatment].
The majority of bladder ruptures (80-90%) are caused by major blunt abdominal trauma. Penetrating injuries account for the rest. Bladder rupture is seen most often in patients with pelvic fracture. ⋯ The rupture is treated by operative closure and drainage by catheter. Extraperitoneal rupture may be treated with only catheter drainage and close clinical evaluation. We describe two patients with intraperitoneal bladder rupture after low energetic abdominal trauma.
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Tidsskr. Nor. Laegeforen. · Sep 1995
Case Reports[Is there a connection between epilepsy and migraine?].
Sometimes it is difficult to distinguish between epilepsy and migraine on purely clinical basis. To illustrate some of these difficulties, the cases of three patients are described. The first patient had both epilepsy and migraine with aura, the second patient had paroxysmal headache as a part of an ictal, epileptic event, and the third patient presented a more complex clinical picture due to post traumatic encephalopathy. The paper deals with possible genetic, causal and EEG-related features which migraine and epilepsy have in common.
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In recent years there has been a growing awareness of possible hazards caused by anaesthetic gases in operating theatres. Our study monitored ambient nitrous oxide (N2O) levels in the operating theatres and recovery rooms at the University Hospital in Tromsø. The results show that exposure to waste anaesthetic gases occurs because of leaks in the anaesthetic equipment. ⋯ During mask anaesthesia we have observed nitrous oxide concentrations above 1500 ppm, owing to mask leakage. A closely fitting scavenging mask and good working practices lead to in lower nitrous oxide concentrations. Nitrous oxide exhalation from the patient in the recovery room is only a minor problem.