Blar i tittel ISM skriftserie
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Identifying and measuring patient harms. A study of measuring adverse events in hospitalised patients by the Global Trigger Tool record review method
(Doctoral thesis; Doktorgradsavhandling, 2019-05-24)Patient harms, or adverse events which is the term used in this PhD thesis, is a global health problem. The Global Trigger Tool (GTT) is a widely used method to identify and measure adverse events (AEs). The method involves reviewers searching for triggers (situations) in randomly selected medical records and subsequently identifying AEs. However, the method is criticized due to the time used by ... -
ILSA 2017 in Tromsø : proceedings from the 42nd annual conference of the International Lung Sound Association
(Conference object; Konferansebidrag, 2017)The usefulness of lung auscultation is changing. It depends on how well practitioners understand the generation of sounds. It also depends on their knowledge on how lung sounds are associated with lung and heart diseases, as well as with other factors such as ageing and smoking habits. In clinical practice, practitioners need to give sufficient attention to lung auscultation, and they should use ... -
Incidence of and risk factors for myocardial infarction, stroke, and diabetes mellitus in a general population : the Finnmark study 1974-1989
(Doctoral thesis; Doktorgradsavhandling, 1998) -
Indiciense and risk factors for type 2 diabetes in a general population : the Tromsø Study
(Doctoral thesis; Doktorgradsavhandling, 2011-01-28)Hovedfokus for denne avhandlingen var å avklare betydningen v forskjellige risikofaktorer for type 2 diabetes i Tromsøundersøkelsen. Den baserer seg på 11 års oppfølging fra 1994 til 2005. Utvalget besto av 26093 personer (12398 menn og 13695 kvinner) som deltok i Tromsøundersøkelsen i 1994/1995. Av disse ble 7060 screenet igjen i 2001 og 10102 i 2008. Hovedfunnene i avhandlingen var; (1) I en ... -
Individual fatty acids and cardiovascular risk factors
(Doctoral thesis; Doktorgradsavhandling, 2001)This thesis focuses on the relationship of individual fatty acids in blood phospholipids with blood pressure, serum cholesterol, triglycerides and apolipoproteins. A clinical trial and a observational study address the following questions: 1. What are the effects of dietary supplementation with high doses (4 grams daily) of highly purified EPA and DHA on serum lipids (triglycerides, total, LDL ... -
Infection, inflammation and artherosclerosis
(Doctoral thesis; Doktorgradsavhandling, 2007)Myocardial infarction and stroke are leading causes of death and disability iii the Western world, and substantial resources are spent on treatment, care and rehabilitation. A marked reduction in cardiovascular mortality has been observed in both genders in Norway during the 1980s and 1990s (Statistics Norway), probably due to both improved prevention and treatment of the acute ischemic event. ... -
Interpretation of forearm bone mineral density : the Tromsø study
(Doctoral thesis; Doktorgradsavhandling, 2000) -
Intervensjonsstudien i Finnmark : evaluering av lokalsamfunnsbasert hjerte- og kar forebygging i kystkommunene Båtsfjord og Nordkapp
(Doctoral thesis; Doktorgradsavhandling, 2004)Due to high cardiovascular mortality in Finnmark, Norway’s northernmost county, the aim of the Finnmark Intervention Study was to improve health and reduce cardiovascular risk factors in the intervention communities. Those with the poorer health condition should experience the main improvements. The intervention projects should be based upon empowerment and participation.<br> The study bad a ... -
Iron status and prevalence of hereditary haemochromatosis in a multiethnic population in northern Norway : the SAMINOR study, the Sør-Varanger study, the Tromsø V study
(Doctoral thesis; Doktorgradsavhandling, 2008)Iron status is influenced by several factors such as nutritional factors and blood loss. Tron deficiency is one of the most severe and important nutritional deficiencies in the world today, both in industrialised as well as developing countries [1-3]. In normal subjects the total daily loss of iron is balanced by an equivalent amount of iron absorbed from the diet. When this equilibrium is ... -
“Light my fire” - Perspectives on Motivation, Helpfulness and Implementation of Guided Internet-based Cognitive Behavioral therapy.
(Doctoral thesis; Doktorgradsavhandling, 2015-03-13)Depression is common and imposes tremendous burdens for patients, their family and society. Implementation of internet-based cognitive behavioural therapy (ICBT) within general practice is recommended. Better results have been shown for treatment with ICBT when support is given, and therefore there is interest in exploring guided ICBT as an affordable alternative for treatment in the early stage ... -
Local public health physicians in Norway from 1994 to 2002 : workload, work content, and interaction : a story of everyday life in primary health care
(Doctoral thesis; Doktorgradsavhandling, 2008-03-07)Avhandlingens tema er utviklingen innenfor lokal samfunnsmedisinsk legetjeneste fra 1994 til 2002. Desentraliserings- og liberaliseringsreformer i primærhelsetjenesten, endringer i helseforhold og etterspørsel etter helsetjenester endret arbeidsarenaen for samfunnsmedisinerne, og gav økonomiske, organisatoriske og faglige utfordringer. Avhandlingen er basert på tre tverrsnittsundersøkelser, gjennom ... -
Longitudinal analyses of cardiovascular risk factors : the Tromsø study 1974-1995
(Doctoral thesis; Doktorgradsavhandling, 2002)The present study has addressed longitudinal changes in cardiovascular risk factors and also assessed the association between BMI change with changes in other risk factors. We showed a moderate to high degree of tracking for systolic and diastolic blood pressure, HDL cholesterol, total cholesterol, and triglycerides and a higher degree of tracking for BMI. Tracking was higher for total cholesterol ... -
Longitudinal changes in forearm bone mineral density in women and men from 25 to 84 years. The Tromsø Study
(Doctoral thesis; Doktorgradsavhandling, 2006) -
Managing childhood obesity, The Finnmark Activity School
(Doctoral thesis; Doktorgradsavhandling, 2014-12-11)Childhood obesity has reached epidemic proportions globally and represents a major threat to children’s health. Data on effectiveness of treatment programs for childhood obesity beyond one year is limited and there is little high-quality evidence to recommend one treatment over another. The objective of the clinical trial The Finnmark Activity School was to compare a new multidisciplinary approach ... -
Managing exacerbations of chronic obstructive pulmonary disease - An investigation of treatment decisions from a primary care perspective
(Doctoral thesis; Doktorgradsavhandling, 2017-03-24)Exacerbations of chronic obstructive pulmonary disease (COPD) compose a considerable burden for both patients and health care systems. Optimal management in primary care, including self-treatment of COPD exacerbations with antibiotics and oral corticosteroids, is considered to be one key for providing good care for patients at reasonable costs. This thesis aimed to explore treatment of COPD exacerbations ... -
Maternal concentrations, predictors and change in profiles of organochlorines, toxic and essential elements during pregnancy and postpartum : the Vietnamese mother-and-child study and the Northern Norwegian mother-and-child study
(Doctoral thesis; Doktorgradsavhandling, 2011)Persistent toxic substances like organochlorines (OCs) and certain toxic metals have been or are extensively used, and can be globally distributed by long-range transport. The fetus and growing child are exposed via the placenta and breast milk and are vulnerable to their negative health effects. Concentrations measured in maternal blood or breast milk are thus potential indicators of risk for ... -
Mellom hypoteser og tilfeldigheter
(Others; Andre, 2017)Dette er en personlig, objektiv beskrivelse av grunnlaget for Kvinner og Kreft, utviklingen over tid og samspillet mellom ideer, engasjement og tilfeldigheter. Over ca femti år er det meste forandret fra forskning drevet av nysgjerrighet til forskning som konkurranse. Det springende spørsmål er hva som gir best utbytte i fremtiden? Prosjekter har ofte en meget lang tidshorisont. Politiske og ... -
The military service : mental distress and changes in health related behaviours among Norwegian army conscripts.
(Research report; Forskningsrapport, 1994) -
Morally bound medical work. An empirical study exploring moral conditions of doctors’ everyday practice
(Doctoral thesis; Doktorgradsavhandling, 2011-09-22)All of clinical work also has a moral dimension since the purpose of health care is to help patients. The aim of this project is to understand how doctors deal with these moral dimensions of clinical work. The field of bioethics has largely emerged as a philosophically founded discipline, without taking into account how doctors already handle moral values as a tacit or implicit part of their clinical ... -
The Murmansk county birth registry (MCBR) : the implementation and applicability of a population-based medical birth registry in the Russian Arctic
(Doctoral thesis; Doktorgradsavhandling, 2009-09-04)The Murmansk County Birth Registry (MCBR) was initiated on January 1. 2006. Currently (April 2009) the MCBR has registered over 26 000 births. The registry covers a geographical area known as the Kola Peninsula in Northwest Russia, which is almost entirely located above the Arctic Circle. Murmansk County is about half the size of Norway and had 857 000 inhabitants in 2008. All the 15 delivery ...