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43 records – page 1 of 5.

Age and sex: underestimated selection criteria for referral to x-ray examination of the colon?

https://arctichealth.org/en/permalink/ahliterature24427
Source
Scand J Prim Health Care. 1992 Jun;10(2):134-8
Publication Type
Article
Date
Jun-1992
Author
S. Steine
K. Løken
E. Laerum
Author Affiliation
Department of General Practice, University of Oslo, Norway.
Source
Scand J Prim Health Care. 1992 Jun;10(2):134-8
Date
Jun-1992
Language
English
Publication Type
Article
Keywords
Adult
Aged
Aged, 80 and over
Barium Sulfate - diagnostic use
Colonic Polyps - radiography
Colorectal Neoplasms - epidemiology - radiography
Diverticulum, Colon - radiography
Enema
Female
Humans
Male
Middle Aged
Norway - epidemiology
Odds Ratio
Abstract
An analysis was made of 2416 consecutive patients who underwent a double-contrast barium enema at the Central Roentgen Institute in Oslo. Age, sex, and radiological findings were registered. The age and sex distribution among patients consulting in general practice and in our study was surprisingly similar. This suggests that age as a risk factor for colorectal neoplasms did not play a prominent role among the referring doctors. Colorectal cancer was more frequent in males (4%) than females (2%) (p = 0.03). Odds ratio adjusted for age was 2.1 (1.3-3.8). This may be due to few examinations performed in old age, and different patient behaviour when experiencing colorectal symptoms. The overall polyp frequency was 11%. The frequency increased significantly from the age group 40-49.
PubMed ID
1641523 View in PubMed
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Agency orientation and chronic musculoskeletal pain: effects of a group learning program based on the personal construct theory.

https://arctichealth.org/en/permalink/ahliterature72029
Source
Clin J Pain. 2000 Dec;16(4):281-9
Publication Type
Article
Date
Dec-2000
Author
L. Haugli
E. Steen
E. Laerum
A. Finset
R. Nygaard
Author Affiliation
Department of General Practice, University of Oslo, Norway. liv.haugli@samfunnsmed.uio.no
Source
Clin J Pain. 2000 Dec;16(4):281-9
Date
Dec-2000
Language
English
Publication Type
Article
Keywords
Absenteeism
Adaptation, Psychological
Adult
Female
Humans
Male
Middle Aged
Musculoskeletal Diseases - psychology - rehabilitation - therapy
Pain - psychology - rehabilitation - therapy
Patient Education - organization & administration
Patient satisfaction
Power (Psychology)
Program Evaluation
Psychological Theory
Psychotherapy, Group - organization & administration
Research Support, Non-U.S. Gov't
Self Concept
Abstract
OBJECTIVE: This study evaluated the effects of a group learning program on patients with chronic musculoskeletal pain and high absenteeism and investigates what characterizes those patients who may benefit from such a program. The learning program was based on personal construct theory. The theory included the following: (1) participation in an educational program is related to a favorable outcome across the outcome measures (pain, pain coping, management of daily life, absenteeism, and use of health care), (2) patients with high agency orientation (i.e., inner-directed) cope with their pain and manage daily life in a better manner than do patients with low agency orientation (i.e., outer-directed), and (3) patients with high personal control, measured in terms of agency orientation, in terms of health locus of control, or in both terms, will benefit more from the educational program than will patients with low personal control. DESIGN: The study was a randomized controlled study. PATIENTS: One hundred and sixteen patients with chronic musculoskeletal pain and high absenteeism answered a questionnaire before and after the intervention program. The intervention group (n = 61) consisted of nine subgroups geographically spread through the eastern part of Norway and met for four hours every 2 weeks from February 1997 to October 1997. A total of 12 meetings were held. RESULTS: The intervention group reported a significantly higher score for the variable "management of everyday life" (p
PubMed ID
11153782 View in PubMed
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Antibiotic treatment of patients with mucosal thickening in the paranasal sinuses, and validation of cut-off points in sinus CT.

https://arctichealth.org/en/permalink/ahliterature205799
Source
Rhinology. 1998 Mar;36(1):7-11
Publication Type
Article
Date
Mar-1998
Author
M. Lindbaek
E. Kaastad
S. Dølvik
U. Johnsen
E. Laerum
P. Hjortdahl
Author Affiliation
Department of General Practice, University of Oslo, Norway.
Source
Rhinology. 1998 Mar;36(1):7-11
Date
Mar-1998
Language
English
Publication Type
Article
Keywords
Acute Disease
Adolescent
Adult
Aged
Aged, 80 and over
Amoxicillin - therapeutic use
Double-Blind Method
Drug Administration Schedule
Family Practice
Female
Humans
Male
Middle Aged
Nasal Mucosa - drug effects - pathology
Norway
Penicillin V - therapeutic use
Penicillins - therapeutic use
Sensitivity and specificity
Sinusitis - diagnosis - drug therapy
Tomography, X-Ray Computed
Treatment Outcome
Abstract
We compared the efficacy of penicillin V and amoxycillin treatment with placebo in 70 adult patients from Norwegian family practice with a clinical diagnosis of acute sinusitis and mucosal thickening on CT, but without fluid level or total opacification. The study was randomized and double-blind. Three different outcomes were evaluated; subjective status after 10 days of treatment, difference in clinical score between day 0 and day 10, and duration of the illness episode. Amoxycillin and penicillin V gave no better response to treatment than placebo, evaluated by all three outcome measures. The median duration of the sinusitis episode was 10 days in the amoxycillin- and placebo groups and 13 days in the penicillin-V group. In patients with a clinical diagnosis of acute sinusitis, fluid level and total opacification on CT are good criteria to differentiate between groups of patients that need or do not need antibiotic treatment.
PubMed ID
9569434 View in PubMed
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Assessment of coronary heart disease risk, I. A postal inquiry among primary care physicians.

https://arctichealth.org/en/permalink/ahliterature54887
Source
Fam Pract. 1994 Jun;11(2):117-21
Publication Type
Article
Date
Jun-1994
Author
E. Meland
E. Laerum
I. Stensvold
Author Affiliation
Department of Public Health and Primary Health Care, Division for General Practice, Bergen, Norway.
Source
Fam Pract. 1994 Jun;11(2):117-21
Date
Jun-1994
Language
English
Publication Type
Article
Keywords
Adult
Attitude of Health Personnel
Coronary Disease - epidemiology - etiology - prevention & control
Cross-Sectional Studies
Female
Humans
Incidence
Male
Mass Screening
Middle Aged
Norway - epidemiology
Primary Health Care
Research Support, Non-U.S. Gov't
Risk factors
Abstract
The purpose of the present study was to examine general practitioners' abilities to make a correct estimation of the risk of coronary heart disease (CHD). A 10% random sample of Norwegian primary care physicians (n = 288) received a questionnaire that presented 10 case histories containing information about five CHD risk factors. The respondents' risk estimation was compared with a composite score computed from epidemiologic data. The observed general tendency was towards underestimating the CHD risk. However, 'high-risk' histories were recognized as CHD risk persons. Assessment of CHD risk due to multiple marginal abnormalities was only exceptionally correct. Hypercholesterolaemia and hypertension in men were acknowledged as contributing to clinically significant CHD risk only by a minority of GPs. Heavy smoking and a positive family history were associated with a more accurate estimation of CHD risk. Forty per cent of the physicians did not recognize the sex dependency of cholesterol as a CHD risk factor. None of the physician characteristics could predict variation in correct risk assessment.
PubMed ID
7958572 View in PubMed
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Assessment of coronary heart disease risk, II. A clinical multicentre study of general practitioners' risk assessment.

https://arctichealth.org/en/permalink/ahliterature54886
Source
Fam Pract. 1994 Jun;11(2):122-6
Publication Type
Article
Date
Jun-1994
Author
E. Meland
E. Laerum
E H Lehmann
Author Affiliation
Department of Public Health and Primary Health Care, Division for General Practice, Bergen, Norway.
Source
Fam Pract. 1994 Jun;11(2):122-6
Date
Jun-1994
Language
English
Publication Type
Article
Keywords
Adult
Attitude of Health Personnel
Coronary Disease - epidemiology - etiology - prevention & control
Cross-Sectional Studies
Female
Humans
Incidence
Male
Mass Screening
Middle Aged
Norway - epidemiology
Primary Health Care
Research Support, Non-U.S. Gov't
Risk factors
Abstract
The objectives of the present study were: (i) to compare clinical assessment of coronary heart disease (CHD) risk with risk estimation faced with simulated, written case histories; (ii) to observe the risk assessment performed by general practitioners (GPs) in their clinical setting. Thirty-one GPs participating in a multicentre study were asked to invite 20 consecutive male patients aged 30-59 years to an opportunistic screening of CHD risk factors. They assessed the risk status of these patients and of 10 written case histories containing information about corresponding CHD risk factors. A composite 'infarction score' computed from epidemiologic data was used as a gold standard. Diagnostic performance in the clinical setting was compared with that in the simulated setting by Pearson's correlation. A weak, but statistically significant positive correlation was demonstrated when comparing correct estimation in the two settings. No correlation was found for over- and underestimation. Sensitivity was increased faced with clinical patients at the sacrifice of specificity compared to the simulated setting. The impact of a positive family history on clinical assessment parallels the epidemiological estimate. Due to lack of sensitivity, the other factors had a lower impact on risk estimation than an epidemiological estimate would presuppose. We advocate the application of a formal risk estimation to improve risk assessment accuracy. The synergistic effect of multiple risk factors should be emphasized in medical training to improve the clinical risk estimation.
PubMed ID
7958573 View in PubMed
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[Can chronic musculoskeletal pain be reduced by education? Results from an educational test model].

https://arctichealth.org/en/permalink/ahliterature207678
Source
Tidsskr Nor Laegeforen. 1997 Aug 20;117(19):2772-5
Publication Type
Article
Date
Aug-20-1997
Author
L. Haugli
E. Steen
L. Sandvik
E. Laerum
Author Affiliation
Arbeidsforskningsinstituttet, Oslo.
Source
Tidsskr Nor Laegeforen. 1997 Aug 20;117(19):2772-5
Date
Aug-20-1997
Language
Norwegian
Publication Type
Article
Keywords
Chronic Disease
Humans
Learning
Models, Educational
Musculoskeletal Diseases - psychology - rehabilitation
Norway
Pain - psychology - rehabilitation
Patient Education as Topic
Quality of Life
Questionnaires
Self Concept
Abstract
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. Key words in the educational model are: Change of focus from pain and disability to resources and potentials, Higher degree of self-awareness, Development of inner authority. 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
PubMed ID
9312867 View in PubMed
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Continuity of care in general practice: effect on patient satisfaction.

https://arctichealth.org/en/permalink/ahliterature36707
Source
BMJ. 1992 May 16;304(6837):1287-90
Publication Type
Article
Date
May-16-1992
Author
P. Hjortdahl
E. Laerum
Author Affiliation
Department of General Practice, University of Oslo, Norway.
Source
BMJ. 1992 May 16;304(6837):1287-90
Date
May-16-1992
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Aged
Aged, 80 and over
Child
Child, Preschool
Continuity of Patient Care
Family Practice - organization & administration
Female
Humans
Infant
Infant, Newborn
Male
Middle Aged
Norway
Patient satisfaction
Physician-Patient Relations
Time Factors
Abstract
OBJECTIVE--To evaluate the influence of continuity of care on patient satisfaction with consultations. DESIGN--Direct and episodic specific evaluation of patient satisfaction with recent consultation. SETTING AND SUBJECTS--A representative sample of 3918 Norwegian primary care patients were asked to evaluate their consultations by filling in a questionnaire. The response rate was 78%. MAIN OUTCOME MEASURES--The patient's overall satisfaction with the consultation was rated on a six point scale. Continuity of care was recorded as the duration and intensity of the present patient-doctor relationship and as patients' perception of the present doctor being their personal doctor or not. RESULTS--The multivariate analysis indicated that an overall personal patient-doctor relationship increased the odds of the patient being satisfied with the consultation sevenfold (95% confidence interval 4.9 to 9.9) as compared with consultations where no such relationships existed. The duration of the patient-doctor relationship had a weak but significant association with patient satisfaction, while the intensity of contacts showed no such association. CONCLUSION--Personal, continuous care is linked with patient satisfaction. If patient satisfaction is accepted as an integral part of quality health care, reinforcing personal care may be one way of increasing this quality.
PubMed ID
1606434 View in PubMed
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The diagnosis, occurrence and clinical aspects of primary hyperparathyroidism in patients with recurrent urolithiasis as registered in general practice.

https://arctichealth.org/en/permalink/ahliterature238114
Source
Scand J Prim Health Care. 1985 Nov;3(4):207-13
Publication Type
Article
Date
Nov-1985
Author
E. Laerum
C F Borchgrevink
K M Gautvik
S. Aune
Source
Scand J Prim Health Care. 1985 Nov;3(4):207-13
Date
Nov-1985
Language
English
Publication Type
Article
Keywords
Adult
Calcium - blood
Family Practice
Female
Follow-Up Studies
Humans
Hyperparathyroidism - complications - diagnosis
Male
Middle Aged
Norway
Parathyroid Hormone - blood
Recurrence
Time Factors
Urinary Calculi - complications - diagnosis
Abstract
Five patients with primary hyperparathyroidism (surgically verified) and one patient with probable normocalcaemic hyperparathyroidism were diagnosed in a series of 93 recurrent stone formers in general practice. The six case histories are presented. The initial diagnosis was based on repeated albumin corrected total serum calcium determinations. The condition had previously not been diagnosed in four of the six patients, despite one or more hospital admissions. The urinary calcium excretion index ad modum Peacock & Nordin is not recommended as a routine test for use in general practice. Serum immunoreactive parathyroidal hormone related to simultaneous serum calcium values did not give any further diagnostic information in 48 of these patients with, or without, formation of new stones during a mean follow-up period of 3.2 years. The clinical spectrum of primary HPT has apparently shifted during the last three decades from bone disease and renal calculi to more general symptoms.
PubMed ID
4081402 View in PubMed
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[Do physicians know if their patients are satisfied? A study in general practice carried out by medical students].

https://arctichealth.org/en/permalink/ahliterature216698
Source
Tidsskr Nor Laegeforen. 1994 Dec 10;114(30):3579-82
Publication Type
Article
Date
Dec-10-1994
Author
V. Aarflot
B. Dybdahl
M. Falke
T H Michelet
E C Egebakken
T. Kumar
H. Haukeland
E. Laerum
Author Affiliation
Institutt for allmennmedisin, Universitetet i Oslo.
Source
Tidsskr Nor Laegeforen. 1994 Dec 10;114(30):3579-82
Date
Dec-10-1994
Language
Norwegian
Publication Type
Article
Keywords
Adolescent
Adult
Aged
Clinical Competence
Communication
Family Practice - standards
Female
Humans
Male
Middle Aged
Norway
Patient satisfaction
Physician-Patient Relations
Questionnaires
Students, Medical
Abstract
A doctor's ability to assess to what degree his patients are satisfied may indicate how well the patient and the doctor communicate. The main intention of this study was to evaluate the doctor's ability to register a patient's level of satisfaction after a consultation. 19 doctors from six medical centres in Eastern Norway participated. In 50% of the 216 consultations the doctors were able to state exactly how satisfied the patients were. In most of the cases with a mismatch between the doctor's and his patient's ratings the patients were more satisfied than the doctors realized. In some of these cases, however, the doctors failed to observe that the patients were dissatisfied. Male doctors were able to state the patients' level of satisfaction more accurately than female doctors were. Doctors with more experience were also more accurate in their assessments. The method of research used in this area can be problematic. A more reliable and valid questionnaire should be developed.
PubMed ID
7825134 View in PubMed
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[Drug abuse among prisoners. A questionnaire study of 4 Norwegian prisons]

https://arctichealth.org/en/permalink/ahliterature8645
Source
Tidsskr Nor Laegeforen. 1988 Feb 29;108(6):501-4
Publication Type
Article
Date
Feb-29-1988

43 records – page 1 of 5.