In pre-hospital triage of emergency patients, downgrading happens between notification of events and actual patient examination in a substantial proportion. Upgradings of cases are considerably fewer, but the potential serious implications of upgrading warrants individual scrutiny of such cases.
Increasing distance is associated with lower utilisation of out-of-hours services, even for the most acute cases. Extremely long distances might compromise patient safety.
Although depression was prevalent in recently admitted long-term care patients, documented diagnostic initiatives were sparse after admission. Antidepressants were prescribed for many patients, but in only half of the cases was the indication treatment of depression.
Educational meetings, combined with peer support and access to an outpatient clinic, were effective in reducing sick leave in public sector employees.
At least they are ineffective if the goal is short term sickness absence reduction alone.
Scandinavian general practioners give a large variety of symptom diagnosis to patients with severe subjective health complaints.
Due to severe problems with language their emotional reactions can be difficult to interpret. The Facial Action Coding System is a method that can help the communication.
Interviews with car mechanics reveals what is at stake when they decide between absence or attendance when feeling ill.
The prevalence of irritable bowel syndrome and chronic fatigue after giardiasis is not significantly influenced by the presence of atopic disease.
Sleep problems can explain the association between low socioeconomic status and mental health problems among children.
A recently published review of cognitive behavioral therapy (CBT) in the management of chronic nonspecific back pain, suggests that CBT is a beneficial treatment on a wide range of cognitive, behavioral and physiological variables.
Through reproducing music, clients in mental health care may be able to better connect to their own ideas as well as to better understand and adapt to the ideas and feelings of others while still retaining their own identity.
Inappropriate prescribing is prevalent among older people acutely admitted to hospital. The prevalence is not reduced during stay at an intermediate-care nursing home unit specially designed for these patients.
C-reactive protein (CRP) is the most common test used in the Norwegian out-of-hours services. CRP is extensively used, especially by young and inexperienced doctors, and in central areas.
Classifying patients in meaningful clusters may improve the cost-benefit of early intervention strategies to prevent long-term sickness absence and disability due to low back pain (LBP).
The brief TOMCATS questionnaire showed acceptable and significant correlations with a traditional coping questionnaire and is sensitive enough to register systematic differences in response outcome expectancies across the socioeconomic ladder.
Psychological distress is found to be higher in workers with musculoskeletal pain, and highest among workers with both upper and lower body pain.
One out of three working in out-of hours primary care are exposed to physical abuse. Being a nurse implies a higher risk of verbal abuse, whereas men are more at risk of physical abuse.
Given the small differences between referring agents regarding characteristics of patients, circumstances around referrals and judged foundation for the admission, the casualty clinics should be released from their scapegoat position in the care of acutely psychiatric ill patients.
Music therapy as an addition to standard care helps people with schizophrenia to improve their global state, mental state (including negative symptoms) and social functioning if a sufficient number of music therapy sessions are provided by qualified music therapists.
The objective of this study was to explore decision-making on treatment with antidepressants among doctors and nurses in nursing homes.
The majority of patients with acute chest pain from the emergency medical communication centres were admitted to a hospital for further investigation, but only a quarter of the patients were assessed prehospitally to have a severe illness.
The complexity of the problems presented, shortage of time, limited access to reliable information and limited range of interventions available during out-of-hours contributes to uncertainty among the GPs working in Norwegian causalty clinics.
Music therapy – when combined with standard treatment – is effective in helping people with depression.