Pub Date : 2024-12-03Print Date: 2025-01-21DOI: 10.4045/tidsskr.24.0621
Kjartan Olafsson
{"title":"Legen, pasienten og sykmeldingen.","authors":"Kjartan Olafsson","doi":"10.4045/tidsskr.24.0621","DOIUrl":"https://doi.org/10.4045/tidsskr.24.0621","url":null,"abstract":"","PeriodicalId":23123,"journal":{"name":"Tidsskrift for Den Norske Laegeforening","volume":"144 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143012001","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-03Print Date: 2024-12-17DOI: 10.4045/tidsskr.24.0623
Maj-Britt Rocio Posserud
{"title":"Preschool and school-age autism.","authors":"Maj-Britt Rocio Posserud","doi":"10.4045/tidsskr.24.0623","DOIUrl":"https://doi.org/10.4045/tidsskr.24.0623","url":null,"abstract":"","PeriodicalId":23123,"journal":{"name":"Tidsskrift for Den Norske Laegeforening","volume":"144 15","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142847830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-03Print Date: 2024-12-17DOI: 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.
{"title":"Autism diagnoses in school-age children in southern Trøndelag 2016-2019.","authors":"Anne Berit Røe, Sidsel Jullumstrø, Kristin Brobakken Eig, Stian Lydersen, Terje Nærland, Anne Lise Høyland","doi":"10.4045/tidsskr.24.0259","DOIUrl":"https://doi.org/10.4045/tidsskr.24.0259","url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Material and method: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Interpretation: </strong>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.</p>","PeriodicalId":23123,"journal":{"name":"Tidsskrift for Den Norske Laegeforening","volume":"144 15","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142847665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-02Print Date: 2024-12-17DOI: 10.4045/tidsskr.24.0370
Per Sigvald Bakke, Kristian Jong Høines, Frode Gallefoss
{"title":"COPD - can we reduce mortality with drugs?","authors":"Per Sigvald Bakke, Kristian Jong Høines, Frode Gallefoss","doi":"10.4045/tidsskr.24.0370","DOIUrl":"https://doi.org/10.4045/tidsskr.24.0370","url":null,"abstract":"","PeriodicalId":23123,"journal":{"name":"Tidsskrift for Den Norske Laegeforening","volume":"144 15","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142847677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-28Print Date: 2024-12-17DOI: 10.4045/tidsskr.24.0542
Jens Borgbjerg, Tone Kongsrud, Anne Negård, Nina Michelle Rolland Krogh, Thomas Günther, Stig Müller
{"title":"CT-guided cryoablation of renal masses.","authors":"Jens Borgbjerg, Tone Kongsrud, Anne Negård, Nina Michelle Rolland Krogh, Thomas Günther, Stig Müller","doi":"10.4045/tidsskr.24.0542","DOIUrl":"https://doi.org/10.4045/tidsskr.24.0542","url":null,"abstract":"","PeriodicalId":23123,"journal":{"name":"Tidsskrift for Den Norske Laegeforening","volume":"144 15","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142847687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-28Print Date: 2024-12-17DOI: 10.4045/tidsskr.24.0616
Jarle Breivik
{"title":"An inclusive Faculty of Medicine.","authors":"Jarle Breivik","doi":"10.4045/tidsskr.24.0616","DOIUrl":"https://doi.org/10.4045/tidsskr.24.0616","url":null,"abstract":"","PeriodicalId":23123,"journal":{"name":"Tidsskrift for Den Norske Laegeforening","volume":"144 15","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142847727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-26Print Date: 2024-12-17DOI: 10.4045/tidsskr.24.0598
Amanda Hylland Spjeldnæs, Camilla Stoltenberg
{"title":"Norge bør ta globalt lederskap for å halvere tidlig død.","authors":"Amanda Hylland Spjeldnæs, Camilla Stoltenberg","doi":"10.4045/tidsskr.24.0598","DOIUrl":"https://doi.org/10.4045/tidsskr.24.0598","url":null,"abstract":"","PeriodicalId":23123,"journal":{"name":"Tidsskrift for Den Norske Laegeforening","volume":"144 15","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142847827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-25Print Date: 2024-11-26DOI: 10.4045/tidsskr.24.14.01
Are Brean
{"title":"Grautmålet.","authors":"Are Brean","doi":"10.4045/tidsskr.24.14.01","DOIUrl":"https://doi.org/10.4045/tidsskr.24.14.01","url":null,"abstract":"","PeriodicalId":23123,"journal":{"name":"Tidsskrift for Den Norske Laegeforening","volume":"144 14","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-25Print Date: 2024-11-26DOI: 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.
{"title":"A man in his sixties with acute dyspnoea, chest pain and syncope.","authors":"Tine Tveit Strømmen, Karen Regine Finnsdotter Rye, Frida Linnea Hveem Hansson, Dan Levi Hykkerud, Janne Elin Mykland Hilde, Ellen Elisabeth Brodin","doi":"10.4045/tidsskr.24.0311","DOIUrl":"10.4045/tidsskr.24.0311","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":23123,"journal":{"name":"Tidsskrift for Den Norske Laegeforening","volume":"144 14","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740632","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-25Print Date: 2024-11-26DOI: 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.
{"title":"Brudd i proksimale humerus.","authors":"Tore Fjalestad, Tone Wagle, Kaare S Midtgaard, Alexander Nilsskog Fraser","doi":"10.4045/tidsskr.24.0143","DOIUrl":"https://doi.org/10.4045/tidsskr.24.0143","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":23123,"journal":{"name":"Tidsskrift for Den Norske Laegeforening","volume":"144 14","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}