Tidsskrift for den Norske lægeforening : tidsskrift for praktisk medicin, ny række
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Tidsskr. Nor. Laegeforen. · Dec 2008
[Before and after implementation of do-not-resuscitate orders in a stroke unit].
In Norway, few studies have been done to map the extent of do-not-resuscitate (DNR) orders and the consequence for patients (treatment and outcome). ⋯ Patients with DNR orders were old and had had severe stroke. Treatment was rarely withheld despite high morbidity and mortality among the patients.
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Staphylococcus aureus rarely cause severe infections in otherwise healthy individuals, but is an important pathogen in settings where people susceptible to infectious diseases are gathered. Morbidity and mortality has increased more for MRSA infections than for those caused by sensitive background. Staphylococcus aureus rarely cause severe infections in otherwise healthy individuals, but is an important pathogen in settings where people susceptible to infectious diseases are gathered. Morbidity and mortality has increased more for MRSA infections than for those caused by sensitive S.AUREUS:. An increasing incidence of MRSA may necessitate changing the guidelines for empirical treatment of staphylococcal infections, which will in turn increase the costs of treatment and further accelerate the evolution of bacterial resistance. ⋯ The incidence of MRSA is low in the Nordic countries, but increasing. Few severe MRSA infections have been notified in Norway so far, but the number of severe infections will increase in line with the increasing incidence. The incidence of MRSA is decisive for choice of strategy. The Netherlands and the Nordic countries have a search and destroy strategy towards MRSA, but with some differences in the choice of measures and target groups. In the draft of a new Norwegian MRSA guideline it is suggested to have a search and destroy strategy in hospitals, while the measures outside health care institutions are targeted towards people with the highest risk of transmitting the bacteria to hospitals or nursing homes.
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Tidsskr. Nor. Laegeforen. · Dec 2008
[Is registration of multiple myeloma in the Norwegian Cancer Registry good enough?].
The last 15 years several studies have evaluated the quality of the Norwegian Cancer Registry. A pilot study from 1981 showed that the registration quality of non-solid tumours was significantly weaker than that for solid tumours. We wanted to study the registration quality of multiple myeloma in the Norwegian Cancer Registry during the 1990s. ⋯ The quality of multiple myeloma registration in the Norwegian Cancer Registry has improved from the 1970s (the data had a completeness of 77-82%) to the 1990s, but is still not as good as the registration of solid tumours. Increased awareness of this problem at pathological and haematological departments can probably improve the quality of registration further.