Tidsskrift for den Norske lægeforening : tidsskrift for praktisk medicin, ny række
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Coeliac disease is a disorder characterised by intolerance to wheat gluten and related proteins from rye and barley, ingestion of which leads to a harmful immune activation in the small intestinal mucosa. The symptoms are often vague and do not suggest an intestinal disorder. ⋯ Coeliac disease can also exist with a normal serology. The trend in many countries is to require less pronounced mucosal abnormalities than previously for the diagnosis.
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Tidsskr. Nor. Laegeforen. · Nov 2003
[Do-not-resuscitate orders and cardiopulmonary resuscitation at a Norwegian department of surgery].
A previous publication indicates a lack of clear guidelines for DNAR orders in Norwegian hospitals. The Norwegian Board of Health has recently published strict requirements for such a procedure. ⋯ The department had a clear procedure for writing DNAR orders but it was followed in less than half of the cases.
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Lung transplantation has been a therapeutic option for end-stage pulmonary disease in Norway since 1990 and there has been an increasing shortage of donor lungs. ⋯ Patients with idiopathic pulmonary fibrosis should be referred earlier and patients with idiopathic pulmonary fibrosis and cystic fibrosis should be given higher priority on the waiting list.
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Thermometry at other body sites than the rectum may have its advantages. Some studies have shown that infrared tympanic measurement has poor sensitivity in febrile patients. We evaluated a new infrared temporal thermometer that calculates core temperature by measuring skin temperature and ambient temperature over the superficial temporal artery. ⋯ The results are better than for infrared tympanometry. The sensitivity of the infrared temporal thermometer for detecting rectally measured fever is too low to recommend its use in adult intensive care patients.