OBJECTIVE--To compare HbA1c, fructosamine, and blood glucose and discuss to what degree Hba1c can be replaced by fructosamine. DESIGN--Cross-sectional study. PATIENTS--87 unselected patients coming for 112 consecutive consultations. MAIN OUTCOME MEASURES--Fructosamine, HbA1c, blood glucose. RESULTS--The following Pearson correlation coefficients were found: Blood glucose/fructosamine 0.45, HbA1c/blood glucose 0.64, and HbA1c/fructosamine 0.39. Sensitivity and specificity of fructosamine and blood glucose to detect HbA1c > or = 8.0% was shown. CONCLUSION--Our study indicates that fructosamine and fasting capillary blood glucose are poor indicators of the level of HbA1c in NIDDM patients.
The topic of article is a two-year trial of health service for doctors in the districts of Asker and Eidsvoll, under the auspices of the Akershus branch of the Norwegian Medical Association. The object of the trial was to develop a model for a health service for doctors. All doctors in the selected districts, except those covered by occupational health services, were invited to take part in the trial. Doctors recruited as doctors for colleagues, were given systematic tutoring and teaching throughout the trial period. The authors describe how the trial was organized and carried out, and summarize the practical experience gained so far. They also give a brief account of the continued efforts of the Akershus branch of the Norwegian Medical Association to develop a better health service for doctors.
In a population study, a random sample of 398 persons from 20 to 72 years answered the six item version of the Dartmouth COOP functional health assessment charts/WONCA. The results according to age and sex are presented. The charts have been developed primarily for use in clinical settings. In a cross-sectional study in a normal population, the instrument seems feasible in use and it differentiates between the sexes and age groups.
The purpose of this study was both to ascertain the extent to which Pakistanis, compared with Norwegians, consult a doctor and to discover possible differences in the type of diagnosis received by the two groups, 6867 consultations where the patient was either Pakistani or Norwegian were registered over a period of one year at Stovner Health Centre. The frequency of the consultations differed more between men and women than between Pakistanis and Norwegians. On the whole the Pakistani patients received more symptom diagnoses and fewer diagnoses of illness than the Norwegians did, but here too there was a greater difference between the sexes than between the nationalities-women received most symptom diagnoses. Women practitioners gave symptom diagnoses more often than their male colleagues, did. Our study has shown that differences between the sexes are greater than differences between the races. This may help to break down barriers between "US" and "them".
Musculo-skeletal complaints are widespread. In a population survey in Ullensaker, a local community 40 kilometers north-east of Oslo, only 15% reported no musculo-skeletal symptoms during the last year. Just as many, 15%, predominantly women aged 50-70 years years, reported having such symptoms every day during the last year. 53% reported that they had experienced low back pain during the last year. The corresponding figures for headache, neck symptoms and shoulder symptoms were 49%, 48% and 46% respectively. Headache was most common among the younger women and neck and shoulder symptoms among middle-aged, while hip and knee symptoms were most frequent in the elderly women. Women in all age groups reported symptoms from more parts of the body than the men did.
A health service for doctors was made available in two municipalities. 28 doctors participated in a trial lasting two years. The overall evaluation included an interview by telephone, and the participants were asked to give their opinion of the trial. The response was unanimously positive. Most participants felt a clear need for contact, something which was not always apparent to the doctors' doctor. The participants appreciated the psychosocial aspect of the trial most of all. Lowest marks were awarded to the part dealing with the working environment. Few doctors found it difficult to fit into the patient's role. The selection of doctors' doctors, and their tutoring and preparation for this role, are probably the main factors behind the success of the trial. The evaluation clearly supports the creation of a health service for doctors.