Tidsskrift for den Norske lægeforening : tidsskrift for praktisk medicin, ny række
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Pain assessment in nursing home patients is often challenging because of cognitive failure. Demented patients receive less optimal pain treatment than those who are cognitively intact. Inappropriate pain assessment is likely to be an important reason for problems with proper diagnosis and treatment of pain in the cognitively impaired. Self-report of pain by standardized questionnaires is recommended for those with mild cognitive failure. For those who are unable to self-report, observational assessment is an alternative. ⋯ It is important to establish a common standard for systematic pain assessment in the cognitively impaired, both clinically and in research. Further validation of the CNPI and the Doloplus-2 is recommended.
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Tidsskr. Nor. Laegeforen. · Jun 2005
[Risk of disability pension among young persons on long-term sick leave].
In the late 1990s the incidence of new disability pensioners in Norway increased, especially among young people. This study assessed the risk and possible predictors of a transition to disability among long-term sickness absentees below 40. ⋯ A moderate risk of disability pension was found among young people on long-term sick leave. Special interventions targeted at men with psychiatric diagnoses and women with musculoskeletal disorders should be considered.
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Tidsskr. Nor. Laegeforen. · Jun 2005
[Knowledge, practice and attitudes to back pain among doctors, physiotherapists and chiropractors].
In Norway, only doctors, physiotherapists and chiropractors are authorised to examine and treat patients suffering from low back pain. This study compares knowledge, attitudes and practice among these professional groups. ⋯ The chiropractors had the largest number of back pain patients in their practice and expressed the highest degree of professional interest in the field. We found no essential differences regarding knowledge between the groups. 77 % of the physiotherapists would refer acute sciatica to a doctor, while only 24 % of the chiropractors would do so. 65 % of the doctors and 10 % of the chiropractors would refer a chronic low back pain patient for physical therapy. Doctors and physiotherapists have a longstanding tradition of mutual cooperation, while chiropractors only seldom seem to refer to other care providers. One in five doctors and chiropractors, and 13 % of the physiotherapists, refer an acute unspecific low back pain to plain X-ray, which is not in accordance with the guidelines. Very few health care providers regarded low back pain as disabling. There are also few professionals who believe it possible to find an exact cause for the back pain in the individual patient.
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Tidsskr. Nor. Laegeforen. · Jun 2005
Biography Historical Article[The Greek art of medicine in Rome].
The term "ancient medicine" is often perceived as tantamount to Greek medicine, as most medical writings from the classical period originate in Greece. These texts later became the basis of Western medical thought. Even though the Romans adopted Greek medicine, it continued to be alien to them; they persisted with their practical approach to medicine alongside the Greeks' more theoretical view. This article deals with how Romans reacted to the invasion of Greek doctors, and how this is portrayed by contemporary Roman authors, especially Pliny and Celsus.
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We aimed to explore patient characteristics, diagnostic and surgical procedures and results of treatment of perforated peptic ulcer at our hospital, and determine prognostic factors for death and postoperative complications. ⋯ Perforated peptic ulcer is a disease with low incidence, high mortality and a high frequency of postoperative complications, mainly determined by the patient's age and ASA classification.