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Tidsskrift for Den Norske Laegeforening最新文献

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Legen, pasienten og sykmeldingen.
IF 1.2 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-12-03 Print Date: 2025-01-21 DOI: 10.4045/tidsskr.24.0621
Kjartan Olafsson
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引用次数: 0
Preschool and school-age autism. 学龄前和学龄自闭症。
IF 1.2 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-12-03 Print Date: 2024-12-17 DOI: 10.4045/tidsskr.24.0623
Maj-Britt Rocio Posserud
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引用次数: 0
Autism diagnoses in school-age children in southern Trøndelag 2016-2019. 2016-2019年德拉格南部学龄儿童自闭症诊断情况。
IF 1.2 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-12-03 Print Date: 2024-12-17 DOI: 10.4045/tidsskr.24.0259
Anne Berit Røe, Sidsel Jullumstrø, Kristin Brobakken Eig, Stian Lydersen, Terje Nærland, Anne Lise Høyland

Background: We have previously reported a significantly higher prevalence of autism spectrum disorders in southern Trøndelag among preschool children with mothers from a different national background than Norway. In this study, we wanted to investigate whether, in the same period and in the same geographic area, there was also an excess prevalence among school-age children. Additionally, we wanted to identify psychiatric and developmental comorbidities.

Material and method: We carried out a retrospective review of the medical records of children between 10 and 16 years of age who had been diagnosed with autism in the period 2016-19.

Results: Out of a sample of 125 children, 18 had mothers with a different national background. This gave an incidence rate of 0.18 %, against 0.12 % for children with mothers born in Norway (relative risk 1.5; 95 % confidence interval 0.87 to 2.50, p = 0.11). A total of 74 children had been diagnosed with at least one other developmental disorder or psychiatric condition, most commonly ADHD, before they received the autism diagnosis. In four children, the autism spectrum disorder was accompanied by an intellectual disability.

Interpretation: Maternal national background appears to be a less significant factor among school-age children than among preschool children who receive an autism spectrum diagnosis, and age at the time of diagnosis should be specified in studies on autism in children and adolescents. Psychiatric comorbidity and other accompanying developmental disorders may suggest shared aetiological factors or increased vulnerability in cases of undiagnosed autism in children.

背景:我们之前曾报道过,在挪威南部,母亲来自不同国家背景的学龄前儿童中,自闭症谱系障碍的患病率明显高于挪威。在这项研究中,我们想调查在同一时期和同一地理区域,学龄儿童中是否也存在过度流行。此外,我们希望确定精神和发育合并症。材料和方法:我们对2016-19年期间被诊断为自闭症的10 - 16岁儿童的医疗记录进行了回顾性研究。结果:在125个孩子的样本中,18个孩子的母亲来自不同的国家背景。这使得发病率为0.18%,而母亲在挪威出生的孩子的发病率为0.12%(相对风险为1.5;95%置信区间0.87 ~ 2.50,p = 0.11)。在接受自闭症诊断之前,共有74名儿童被诊断患有至少一种其他发育障碍或精神疾病,最常见的是多动症。在四个孩子中,自闭症谱系障碍伴随着智力障碍。解释:在接受自闭症谱系诊断的学龄儿童中,母亲的国家背景似乎是一个不那么重要的因素,在儿童和青少年自闭症的研究中,诊断时的年龄应该明确。精神合并症和其他伴随的发育障碍可能表明,在未确诊的儿童自闭症病例中,有共同的病因或增加的易感性。
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引用次数: 0
COPD - can we reduce mortality with drugs? 慢性阻塞性肺病——我们能用药物降低死亡率吗?
IF 1.2 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-12-02 Print Date: 2024-12-17 DOI: 10.4045/tidsskr.24.0370
Per Sigvald Bakke, Kristian Jong Høines, Frode Gallefoss
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引用次数: 0
CT-guided cryoablation of renal masses. ct引导下肾肿块冷冻消融。
IF 1.2 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-11-28 Print Date: 2024-12-17 DOI: 10.4045/tidsskr.24.0542
Jens Borgbjerg, Tone Kongsrud, Anne Negård, Nina Michelle Rolland Krogh, Thomas Günther, Stig Müller
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引用次数: 0
An inclusive Faculty of Medicine. 一个包容的医学院。
IF 1.2 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-11-28 Print Date: 2024-12-17 DOI: 10.4045/tidsskr.24.0616
Jarle Breivik
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引用次数: 0
Norge bør ta globalt lederskap for å halvere tidlig død.
IF 1.2 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-11-26 Print Date: 2024-12-17 DOI: 10.4045/tidsskr.24.0598
Amanda Hylland Spjeldnæs, Camilla Stoltenberg
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引用次数: 0
Grautmålet. 灰色地带
IF 1.2 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-11-25 Print Date: 2024-11-26 DOI: 10.4045/tidsskr.24.14.01
Are Brean
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引用次数: 0
A man in his sixties with acute dyspnoea, chest pain and syncope. 一名六十多岁的男子出现急性呼吸困难、胸痛和晕厥。
IF 1.2 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-11-25 Print Date: 2024-11-26 DOI: 10.4045/tidsskr.24.0311
Tine Tveit Strømmen, Karen Regine Finnsdotter Rye, Frida Linnea Hveem Hansson, Dan Levi Hykkerud, Janne Elin Mykland Hilde, Ellen Elisabeth Brodin

A man in his sixties was admitted as an emergency due to dyspnoea, chest pain and syncope. The medical team quickly established that he was in a state of shock. Multidisciplinary management resulted in successful diagnosis and treatment of a condition with high mortality.

一名六十多岁的男子因呼吸困难、胸痛和晕厥被紧急送入医院。医疗小组很快确定他处于休克状态。经过多学科治疗,成功诊断并治疗了这种死亡率很高的疾病。
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引用次数: 0
Brudd i proksimale humerus. Brudd i proksimale humerus.
IF 1.2 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-11-25 Print Date: 2024-11-26 DOI: 10.4045/tidsskr.24.0143
Tore Fjalestad, Tone Wagle, Kaare S Midtgaard, Alexander Nilsskog Fraser

Most proximal humerus fractures can be treated non-surgically with an acceptable result. Approximately one in five patients are assessed for surgery. Clinical examination and diagnostic imaging with radiographs in two planes are needed for the initial assessment, while shoulder CT provides important additional information. To achieve optimal shoulder function after the fracture, patients must be motivated to perform self-exercises and receive supervised training from a physiotherapist. The patient's cooperation is therefore key to achieving an acceptable result, especially if surgery is being considered. Not all patients regain normal shoulder function after such an injury. This clinical review article summarises some important considerations for doctors working with these patients.

大多数肱骨近端骨折都可以通过非手术治疗获得可接受的结果。约有五分之一的患者需要接受手术治疗。初步评估需要进行临床检查和双平面影像诊断,而肩部 CT 可提供重要的补充信息。为了在骨折后获得最佳的肩关节功能,患者必须主动进行自我锻炼,并在理疗师的指导下接受训练。因此,患者的合作是取得可接受结果的关键,尤其是在考虑手术治疗的情况下。并非所有患者在肩关节损伤后都能恢复正常功能。这篇临床综述文章总结了医生在治疗这类患者时需要注意的一些重要事项。
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引用次数: 0
期刊
Tidsskrift for Den Norske Laegeforening
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