Chronic, non-malignant pain is becoming a problem of increasing dimension in our national health system. Chronic pain is essentially different from acute pain. Therefore, it must also be treated by different means and from a different therapeutical angle. Doctors and other therapists often meet the patient with chronic pain with mild rejection and other defensive reactions. This is not only unprofessional but also unjust towards the patient. Further more it helps to turn these patients into excessive consumers of health services. This article proposes two distinct measures that can both humanize the treatment of chronic pain, and make it more economic: Training/re-education of doctors and therapists in the treatment of chronic pain. Ambulatory group treatment for patients with a cognitive/behavioural profile.
We discuss investigations of 22 buildings where users had complained about indoor air and climate. Complaints about "dry air" were the most frequent. Insufficient care and cleaning of the furnishings and technical installations were demonstrated in 17 buildings. Proper documentation and instruction manuals for the maintenance of the installations were not found in any of the buildings. The personnel responsible for the installations had not received adequate instructions. Free man - made mineral fibres (MMMF) were found in the indoor environments in 12-15 of the buildings, originating from the furnishings or the technical climate-installations. Ten of the premises had filted carpets. In at least 13 of the buildings the indoor air temperature was too high, which exacerbated the problems. Better information and a higher level of understanding of problems relating to the indoor climate seems to be needed for all persons involved with these problems.
The article presents the most important results of a follow-up study of 60 patients with solvent induced encephalopathy, carried out 3-5 years after diagnosis. Factors concerning health, work and social life were registered. These encephalopathies seem to remain stable after cessation of exposure to solvents. The majority of the patients did not fully understand the diagnosis. Only a minority of the patients followed recommendations concerning further work and exposure to solvents. The disease has major consequences for the social well-being of the patients, and they do not seem to receive adequate support from the social welfare authorities.