Tidsskrift for den Norske lægeforening : tidsskrift for praktisk medicin, ny række
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Tidsskr. Nor. Laegeforen. · Sep 1997
Review[Poisonous mushrooms, mushroom poisons and mushroom poisoning. A review].
Of 1,500 different types of Norwegian mushrooms, 60-100 are considered poisonous. Fatal intoxications occur very infrequently. Lack of knowledge of picking and preparing mushrooms and accidental or deliberate consumption are recognised causes of mushroom poisoning. ⋯ Induced vomiting and activated charcoal are important initial therapeutic measures. The precise history of the patient and the collecting of mushroom remnants, including vomitus, may help to identify the particular mushroom. In Norway, the National Poison Information Centre may be contacted for further advice.
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A questionnaire was sent to five university hospitals, 16 central hospitals and eight large local hospitals. They were asked about the number of beds and the physicians employed in the intensive care unit (ICU), the use of some important intensive care procedures and treatments, registration and documentation procedures, and activity data for 1995. All the hospitals answered the questionnaire. ⋯ It is impossible at present to make a meaningful comparison of activity at the different intensive care units in Norway. If the situation is to be improved it is necessary to take the initiative for uniform use of definitions, objective scoring systems and registration of work-load. Such an initiative should come from the hospitals and the Norwegian Medical Association, in collaboration with the central health authorities.
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Tidsskr. Nor. Laegeforen. · Aug 1997
[Can chronic musculoskeletal pain be reduced by education? Results from an educational test model].
An attempt was made to rehabilitate 67 employees with chronic musculoskeletal pain at 20 different work sites in Norway by means of an educational model. Nine groups were each counselled by two specially trained occupational health personnel. They met for 2-3 hours during working hours at intervals of two to three weeks for one year. ⋯ The results indicate that group participation reduces pain and dysfunction and increases everyday coping abilities. In this uncontrolled study 41% had less pain (p = 0.025), 68% coped better with the pain (p < 0.001) and 56% coped better with their everyday life (p < 0.001). Absenteeism was reduced by 28% (p = 0.039) and the need for physiotherapy decreased (p = 0.06).