Tidsskrift for den Norske lægeforening : tidsskrift for praktisk medicin, ny række
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Tidsskr. Nor. Laegeforen. · Sep 1999
[Computer-based interpretation of ECG--guiding or misleading?].
Computerised ECG diagnostic programs occasionally provide erratic diagnoses, and false diagnostic suggestions may mislead the physician. We wanted to investigate whether a diagnostic computer program guides or misleads the ECG interpretation in the emergency room. A panel of 20 first-line physicians from the Medical Department at Ullevål Hospital, Oslo, Norway each described sets of ten ECGs, composed from a selection of ten excellent and ten wrong computer interpretations, randomly with or without the print-out of this diagnosis. ⋯ Whether an incorrect computer diagnosis was provided or not, did not significantly influence the physicians' conclusions. Among the physicians, the best performing third benefitted most from the presence of a good computer interpretation, whereas the poor performers did not even recognise the help provided. Computer-based ECG diagnoses seem to be helpful to emergency ward physicians, but a certain level of ECG experience is required to utilise the program.
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Tidsskr. Nor. Laegeforen. · Sep 1999
Comparative Study[Is the system of assigned general practitioners more demanding for female than male physicians?].
The Ministry of Health has tried out and evaluated the personal doctor system in four municipalities in Norway (1993-96). We have explored the reported workload, and whether there were any reporting differences between female and male doctors. We also explored some of the possible factors explaining the reported increased workload. ⋯ There were no significant differences between male and female doctors in reporting too heavy total workload. 52% of male doctors and 82% of female doctors reported an increase in workload after the introduction of personal doctor system (p < 0.05). Of the explaining factors analysed, only women-dominated lists were associated with reported heavy workload among female doctors (p < 0.05). If the personal doctor system is to be introduced as a national system, it would seem important to have some control over the generation of lists to avoid too heavy workloads.
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Tidsskr. Nor. Laegeforen. · Sep 1999
[Percutaneous drainage of the gallbladder in acute cholecystitis].
Percutaneous cholecystostomy has replaced surgical treatment for acute cholecystitis in surgical high-risk and critically ill patients. We wished to assess the procedures performed at Lillehammer County Hospital. We report 32 drainages performed in the last three years. ⋯ Dislocation of the catheter occurred in 5 out of 32 drainages. This corresponds well to earlier reports. We conclude that percutaneous cholecystostomy in acute cholecystitis is a safe procedure in this group of high-risk patients at our hospital.