Tidsskrift for den Norske lægeforening : tidsskrift for praktisk medicin, ny række
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Tidsskr. Nor. Laegeforen. · Nov 1997
Comparative Study[Incidence and content of written guidelines for "do not resuscitate" orders. Survey at six different somatic hospitals in Oslo].
This paper presents the incidence of, and contents of guidelines for do-not-resuscitate orders (DNR orders) in somatic hospital departments in Oslo. Only five out of 14 departments had written guidelines. ⋯ We find that there is a need for written guidelines for the use of DNR orders and present a template for the appropriate use of such orders. The proper use of DNR orders will prevent futile cardiopulmonary resuscitation and hopefully bring about a discussion on the ethical aspects of treatment decisions in hospital departments.
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Tidsskr. Nor. Laegeforen. · Nov 1997
[Musculoskeletal problems and physical activity. Results from a long-term study].
In two Norwegian industrial companies 42 employees (24 female/18 male) with shoulder, neck and back problems took part in a training programme for a period of 12 months. The programme comprised of daily relaxation exercises at work combined with training at home three times a week for about 30 minutes on each occasion. The physical therapy and training apparatus, TerapiMaster, which was constructed in Norway was used both at work and at home. ⋯ The observations of the training programme focused on changes in absenteeism during the training period compared with pre-study absenteeism. For employees with musculo-skeletal ailments the combination of relaxation exercises and physical training with professional instruction and follow-up significantly reduced absenteeism from 11.2 days per year (pre-study) to 0.2 days per year (at the end of the 12-month training period) (p < 0.001). A follow-up 30 months after completion of the formal study showed that absenteeism remained at the reduced rate, probably because positive experiences and "good habits" developed during the study encouraged the participants to continue with the training programme.