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Blood lead concentrations of Swedish preschool children in a community with high lead levels from mine waste in soil and dust.

https://arctichealth.org/en/permalink/ahliterature36237
Source
Scand J Work Environ Health. 1993 Jun;19(3):154-61
Publication Type
Article
Date
Jun-1993
Author
B. Bjerre
M. Berglund
K. Harsbo
B. Hellman
Author Affiliation
Department of Environmental Medicine, Dalarna County Council, Falun, Sweden.
Source
Scand J Work Environ Health. 1993 Jun;19(3):154-61
Date
Jun-1993
Language
English
Publication Type
Article
Keywords
Child
Child, Preschool
Dust - analysis
Environmental Exposure
Female
Humans
Infant
Lead - analysis - blood
Male
Mining
Risk factors
Seasons
Soil Pollutants - analysis
Sweden
Abstract
The lead concentration in capillary blood was investigated in 49 preschool children (0.7-7.4 years of age) visiting a day-care center in a Swedish community with high lead contamination from mining and milling in soil and dust in populated areas [up to 1400 and 14,000 micrograms.g-1 (6.76 and 67.63 mumol.g-1) of dry weight, respectively]. The blood lead levels were examined twice (in April and in September) in 33 of the children. The lead levels were low on both sampling occasions [arithmetic mean 31 (SD 13, median 30, range 13-79) micrograms.l-1, ie, arithmetic mean 0.15, (SD 0.06, median 0.14, range 0.06-0.38) mumol.l-1]. Whereas children up to four years of age showed significantly increased levels from April to September, a significant decrease was seen in older children. The level of lead in soil at home, gender, smoking habits at home, and estimated level of hand-to-mouth activity did not appear as strong determinants of lead in blood. The results indicate that lead from mine waste in soil and dust fallout does not constitute a significant health hazard for preschool children in Falun.
PubMed ID
8367692 View in PubMed
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Case-control study of risk factors for disease in the neck and shoulder area.

https://arctichealth.org/en/permalink/ahliterature50193
Source
Occup Environ Med. 1994 Apr;51(4):262-6
Publication Type
Article
Date
Apr-1994
Author
K. Ekberg
B. Björkqvist
P. Malm
B. Bjerre-Kiely
M. Karlsson
O. Axelson
Author Affiliation
Department of Occupational and Environmental Medicine, University Hospital, Linköping, Sweden.
Source
Occup Environ Med. 1994 Apr;51(4):262-6
Date
Apr-1994
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Case-Control Studies
Female
Humans
Lifting
Male
Middle Aged
Movement
Musculoskeletal Diseases - epidemiology - etiology
Neck
Occupational Exposure
Posture
Research Support, Non-U.S. Gov't
Risk factors
Shoulder
Sweden - epidemiology
Workplace
Abstract
A case-control study was performed to elucidate the strength of the relation between musculoskeletal disorders in the neck and shoulders and physical, organisational, and psychosocial aspects of the work environment. Cases were identified as those persons who consulted a physician in a community in southern Sweden for new musculoskeletal disorders in the neck and shoulders during a study period from August 1988 to the end of October 1989. One hundred and nine cases were collected and clinically examined. The cases also answered the Nordic questionnaire on symptoms as well as a questionnaire on work conditions and background factors. Controls were drawn as a random sample of the working population in the community where the cases appeared. A total of 637 controls answered the same questionnaires as the cases. Odds ratios (ORs) were calculated by logistic regression. The odds ratios were 11.4 for women, 4.9 for immigrant background, and 3.7 for current smoking. To exercise rarely, compared with often, appeared as a preventive factor with an OR of 0.3. The ORs for various determinants of physical work load were 7.5 for repetitive movements demanding precision, 13.6 for light lifting, 3.6 for uncomfortable sitting positions, 4.8 for work with lifted arms, and 3.5 for a rushed work pace. Regarding work organisational determinants, the ORs were 16.5 for ambiguity of work role (uncertainty whether the person could manage the work) 2.6 for low quality work, and 3.8 for high demands on attention. Several of the determinants showed a significant dose-response relation with disease. It seems that work organisation and psychosocial work conditions are as important determinants for disease in the neck and shoulders as are the physical work conditions.
PubMed ID
8199669 View in PubMed
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[CDT a valuable marker of overconsumption of alcohol. Guidelines for its use in connection with automobile driver examination]

https://arctichealth.org/en/permalink/ahliterature10183
Source
Lakartidningen. 2001 Feb 14;98(7):677-83
Publication Type
Article
Date
Feb-14-2001
Author
B. Bjerre
S. Borg
A. Helander
J O Jeppsson
G. Johnson
G. Karlsson
Author Affiliation
Beroendecentrum Nord, Stockholm.
Source
Lakartidningen. 2001 Feb 14;98(7):677-83
Date
Feb-14-2001
Language
Swedish
Publication Type
Article
Keywords
Alcohol Drinking - blood
Alcoholism - blood - diagnosis - psychology
Automobile Driver Examination - legislation & jurisprudence
Biological Markers - blood
Chromatography, High Pressure Liquid
English Abstract
False Positive Reactions
Guidelines
Humans
Practice Guidelines
Sweden
Transferrin - chemistry - genetics - metabolism
Abstract
According to the medical regulations for obtaining a driver's license in Sweden, alcohol abuse/dependency constitutes sufficient grounds for denial. In the case of a conviction for gross drunk driving, it is incumbent upon the offender to present a medical certificate verifying a "sober lifestyle". Biological markers are important tools for proving alcohol abuse in each of these contexts. In this connection, CDT analyses play a key role through their high marked specificity for increased alcohol consumption. The authors have agreed upon the guidelines as presented in this paper for determining sobriety as it pertains to possession of a driver's license. Special emphasis is placed on how CDT tests should be used and interpreted in such contexts, as well as their value as evidence in the case of increased CDT levels.
PubMed ID
11475257 View in PubMed
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The community safety approach in Falun, Sweden--is it possible to characterise the most effective prevention endeavours and how long-lasting are the results?

https://arctichealth.org/en/permalink/ahliterature61406
Source
Accid Anal Prev. 2000 May;32(3):461-70
Publication Type
Article
Date
May-2000
Author
B. Bjerre
L. Schelp
Author Affiliation
Dalarna County Council, Department of Environmental Medicine, Falun, Sweden. marie.sandberg@itdalarna.se
Source
Accid Anal Prev. 2000 May;32(3):461-70
Date
May-2000
Language
English
Publication Type
Article
Keywords
Accident prevention
Consumer Participation
Humans
Risk factors
Sweden
Time Factors
Abstract
The safe community concept was put into practice in order to reduce the number of unintentional injuries occurring in the Falun municipality. A community-based injury prevention programme was initiated in 1989 and has been gradually built up since that time. The prevention endeavours were based primarily on active intervention strategies through the provision of information, supervision, education and training. After 5 years of an active intervention programme, a significant effect was found as regards the injury rates for both outpatients as well as patients discharged from hospitals. The objectives of this study were: to examine whether the character of the prevention endeavours was a determining factor on the outcome (recorded as in-patient injury cases); to evaluate the effects of this programme, which is still in practice, compared to long-term historical trends; and to draw comparisons with other community-based programmes. A category of 'most targeted risks' was identified as being different with respect to how the injury mechanisms involved were targeted through the programme activities. The development within the injury rates for this group, comprised predominantly of injuries caused by falls at the same level, was significantly different than those for the groups categorized as 'less targeted' and 'non-targeted'. The general effect of the programme appeared to be a neutralization of an otherwise upward trend in the injury rates. A particular effect was demonstrated in the number of fall injuries, including femoral fractures. It was also noted that there was still a reduction in injuries after 7 years. However, it was possible to surmise a waning effect during the last 2 years of the programme while still in progress. This observation suggests that a community-based injury prevention programme must be continuously renewed and reinforced.
PubMed ID
10776865 View in PubMed
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Controlled two year follow up of rehabilitation for disorders in the neck and shoulders.

https://arctichealth.org/en/permalink/ahliterature64654
Source
Occup Environ Med. 1994 Dec;51(12):833-8
Publication Type
Article
Date
Dec-1994
Author
K. Ekberg
B. Björkqvist
P. Malm
B. Bjerre-Kiely
O. Axelson
Author Affiliation
Department of Occupational and Environmental Medicine, University Hospital, Linköping, Sweden.
Source
Occup Environ Med. 1994 Dec;51(12):833-8
Date
Dec-1994
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Cohort Studies
Female
Follow-Up Studies
Humans
Male
Middle Aged
Musculoskeletal Diseases - physiopathology - rehabilitation
Neck
Occupational Health
Research Support, Non-U.S. Gov't
Shoulder
Sick Leave
Sweden
Time Factors
Abstract
OBJECTIVE--To evaluate the effects of an early, active, and multidisciplinary rehabilitation programme for neck and shoulder disorders. METHODS--Primary health care and industrial health care of a nonrandomised, controlled, cohort was followed up over two years in a geographically defined area. The cohort consisted of working people who consulted a physician about disorders of the neck or shoulders from 1 August 1988 to 31 October 1989. Criteria for acceptance; not chronic symptoms, patients had sick leave of no more than four weeks. Disorders were not caused by trauma, infections, malignancy, rheumatic diseases, abuse, or pregnancy. 107 people qualified for the study, 87% were followed up for two years. They were divided into two groups. One group obtained active, multidisciplinary rehabilitation for eight weeks that comprised physical training, information, education, social interaction, and work place visits. Controls were given traditional treatment; physiotherapy, medication, rest, and sick leave. The main outcome measures were: average number of days of sick leave for the two years after rehabilitation, subjective pain on a visual analogue scale, and ratings on seven subscales of the sickness impact profile. RESULTS--At 12 and 24 months of follow up effects of the active rehabilitation programme did not differ from traditional treatment in any of the outcome measures. New work task (P
PubMed ID
7849868 View in PubMed
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Dementia and driving: an attempt at consensus.

https://arctichealth.org/en/permalink/ahliterature209210
Source
Alzheimer Dis Assoc Disord. 1997 Mar;11(1):28-37
Publication Type
Article
Date
Mar-1997
Author
C. Lundberg
K. Johansson
K. Ball
B. Bjerre
C. Blomqvist
A. Braekhus
W H Brouwer
F W Bylsma
D B Carr
L. Englund
R P Friedland
L. Hakamies-Blomqvist
G. Klemetz
D. O'Neill
G L Odenheimer
M. Rizzo
M. Schelin
M. Seideman
K. Tallman
M. Viitanen
P F Waller
B. Winblad
Author Affiliation
Department of Clinical Neuroscience and Family Medicine, Karolinska Institutet, Huddinge, Sweden.
Source
Alzheimer Dis Assoc Disord. 1997 Mar;11(1):28-37
Date
Mar-1997
Language
English
Publication Type
Article
Keywords
Aged
Decision Making
Dementia
Female
Humans
Male
Risk factors
Sweden
Task Performance and Analysis
Abstract
The number of older drivers in Sweden will be rapidly increasing during the next decades. A possible relationship exists between the increased relative crash risk of older drivers and the prevalence of age-related diseases such as dementia. However, a clear-cut policy for evaluating driving competence in demented persons is still lacking. In recognition of this fact, the Swedish National Road Administration invited a group of researchers to formulate a consensus on the issue of driving and dementia. This consensus document is aimed at providing primary care physicians with practical advice concerning the assessment of cognitive status in relation to driving. Suggestions are based on a review of existing research and discuss the use of general and driving-specific sources of information available to the physician. Consensus was reached on the statement that a diagnosis of moderate to severe dementia precludes driving and that certain individuals with mild dementia should be considered for a specialized assessment of their driving competence.
PubMed ID
9071442 View in PubMed
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[Effects of gynecologic health control on the diagnosis and frequency of invasive cervix neoplasms]

https://arctichealth.org/en/permalink/ahliterature28127
Source
Lakartidningen. 1974 Feb 20;71(8):709-10
Publication Type
Article
Date
Feb-20-1974
Source
Acta Obstet Gynecol Scand. 1967;46(7):Suppl 7:3
Publication Type
Article
Date
1967
Author
A. Sjövall
S. Kullander
B. Bjerre
Source
Acta Obstet Gynecol Scand. 1967;46(7):Suppl 7:3
Date
1967
Language
English
Publication Type
Article
Keywords
Female
Folic acid
Pregnancy
Pregnancy Complications - metabolism
Sweden
PubMed ID
5624037 View in PubMed
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Invasive cervical cancer in a cytologically screened population.

https://arctichealth.org/en/permalink/ahliterature26971
Source
Acta Obstet Gynecol Scand. 1983;62(6):569-74
Publication Type
Article
Date
1983
Author
B. Bjerre
S. Johansson
Source
Acta Obstet Gynecol Scand. 1983;62(6):569-74
Date
1983
Language
English
Publication Type
Article
Keywords
Adult
Age Factors
Aged
Female
Humans
Mass Screening
Middle Aged
Sweden
Uterine Cervical Dysplasia - diagnosis
Uterine Cervical Neoplasms - diagnosis - epidemiology
Vaginal Smears - utilization
Abstract
In the community of Malmö, less than 10% of the 20-69-year-old women had been examined cytologically in 1960. By 1970 this figure had increased to 74% and the incidence of invasive cervical cancer decreased by 48% of th incidence prior to cytologic screening. In spite of continued screening and rescreening, no further decrease occurred during the 1970s. In 131 cases, invasive cancer was diagnosed in women previously screened. The smears of 90 of these women had shown changes more than a year before the diagnosis, but 30 women refused examination or therapy. In 60 cases of mild-moderate atypia, further examination consisted solely of a cytologic check-up. We believe that a more active examination program, including colposcopy, in cases of cytologic atypia will be the most important step towards a further reduction in the frequency of invasive cervical cancer.
PubMed ID
6670463 View in PubMed
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15 records – page 1 of 2.