Tidsskrift for den Norske lægeforening : tidsskrift for praktisk medicin, ny række
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Arsenic poisoning has been discussed frequently in Norway during the past year on the background of a suspected crime case. There seem to be several uncertainties regarding this issue, also in the medical profession. ⋯ Arsenic poisoning is a rare condition; its clinical features are uncharacteristic and the diagnosis must be confirmed by analysis of blood, urine and hair.
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Tidsskr. Nor. Laegeforen. · Nov 2004
Review[Are sleep difficulties in night work a problem for the offshore industry?].
Shift work is increasingly used in industry and services; in the Norwegian offshore industry approximately 6750 employees work night shifts. We wanted to look into the implications of night shifts on sleep and circadian rhythm, with particularly focus on the offshore sector. ⋯ Night work disturbs sleep. The level of functioning during the first night shifts is probably lower than the optimal level of functioning. Only a few studies of adaptation to night work in the offshore industry have been conducted and little research has been done concerning swing shifts in the North Sea. The field is obviously in need of more empirically based knowledge.
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Tidsskr. Nor. Laegeforen. · Nov 2004
[Epidural spinal cord stimulation in chronic refractory angina pectoris].
Chronic refractory angina pectoris is defined as a condition with coronary insufficiency that cannot be controlled by a combination of medical therapy, angioplasty or bypass surgery. Different treatment options are evaluated in this patient group; spinal cord stimulation (SCS) is the one that is best documented. We have used this method since 1996 and present our experience. ⋯ In chronic refractory angina pectoris, spinal cord stimulation is an alternative. We report "beginners' experience" that is positive including substantial symptomatic effect and a low complication rate. More hospitals in Norway should consider establishing SCS in order to offer this treatment option to a growing patient group.
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Tidsskr. Nor. Laegeforen. · Nov 2004
[Vacuum pack technique--a good method for temporal abdominal closure].
Abdominal compartment syndrome(ACS) is a clinical entity characterised by increased intraabdominal pressure leading to multiple organ failure, fatal if left untreated. The treatment of abdominal compartment syndrome is surgical decompression with a temporary abdominal wall substitute. To avoid the development of abdominal compartment syndrome, temporary abdominal closure (TAC) should be considered after celiotomy for trauma. A new method for TAC was introduced at Ullevaal University Hospital in 2002, the "vac pac". ⋯ The "vac pac" technique seems to be a good method for TAC.
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Tidsskr. Nor. Laegeforen. · Oct 2004
Comparative Study[Haemoglobin levels and transfusion practice among Norwegian anesthesiologists].
Blood transfusions can be lifesaving, but definite transfusion triggers for different clinical situations need to be determined. ⋯ Norwegian anaesthesiologists have changed their attitude to acceptable transfusion triggers over the 1996-2002 period. In an intensive care setting, they appear to have a more liberal transfusion policy compared to anaesthesiologists in other western European countries.