Tidsskrift for den Norske lægeforening : tidsskrift for praktisk medicin, ny række
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A common sign of distal small fibre neuropathy is dysesthesias, especially burning sensation distally in the extremities. These symptoms are often difficult to treat with conventional analgesics. In the course of the disease, the patient may become less sensitive to pain and changes in temperature, but clinical signs may nevertheless be minor and often difficult to detect by clinical examination. ⋯ Common causes are diabetes mellitus, alcoholism, and amyloidosis. Abnormalities in small diameter fibres may be detected by quantitative sensory testing of temperature and pain thresholds, and by autonomic tests. We describe four patients with polyneuropathy with a predominance of small fibre involvement.
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Tidsskr. Nor. Laegeforen. · Apr 1997
Comparative Study[Expectations from a system of personal general practitioners. A questionnaire study among general practitioners in the municipality of Bergen].
Four municipalities in Norway have tested out a system of personal general practitioners, where all inhabitants aged 12 or more could choose their personal doctor. The doctor's responsibility, work-load and economy were determined by his/her specified list of patients. ⋯ Data from the survey indicated that a larger share of women than men had low expectations concerning a system of personal general practitioners. Only 19 out of 101 general practitioners were positive to introducing such a system.
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Tidsskr. Nor. Laegeforen. · Apr 1997
[Spinal anesthesia in ambulatory surgery. Extent, routines and patient satisfaction].
Spinal anaesthesia has been used in day-care surgery for a long time, but the fear of past dural puncture headache has limited its use in younger patients. A survey was conducted in order to assess the extent to which spinal anaesthesia is used for day-care surgery, and the routines governing the present practice in Norwegian anaesthetic departments. Information was obtained on the use of spinal anaesthesia for day-care surgery. ⋯ This does not seem to be justified on the basis of the scientific evidence. A prospective patient study revealed that out of 120 day-care patients aged 15 to 45 years who were given spinal anaesthesia, 93% would accept the same kind of anaesthetic again. Based on recent studies, the fear of post dural puncture headache should not preclude the use of spinal anaesthesia as a good alternative to general anaesthesia in day-care surgery.