Tidsskrift for den Norske lægeforening : tidsskrift for praktisk medicin, ny række
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Tidsskr. Nor. Laegeforen. · Feb 2004
[337 home calls during daytime from the emergency medical center in Oslo].
Few studies have addressed physicians' home calls in Norway. The aim of this study is to analyse home calls during daytime in Oslo in relation to patients (age, sex, district), diagnoses, request procedures, and clinical outcome. ⋯ Access to acute home calls by a physician during daytime is a necessary function in an urban public health service.
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There is a relatively high postoperative mortality after lung cancer surgery. However, the alternative is almost 100% mortality within five years if surgery is not performed. ⋯ Postoperative fatal complications after lung resection for cancer are too high.
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Restless legs syndrome is a common and not fully appreciated disorder. Improved treatment options require knowledge about the condition. ⋯ Restless legs syndrome is a chronic condition defined as an irresistible desire to move one's limbs, usually associated with paraesthesia/dysaesthesia and motor restlessness. The symptoms start or worsen at rest and improve with activity. The prevalence is between 5% and 15%. 80% of patients suffer from periodic limb movements in sleep. A current hypothesis is that the condition results from a deficiency of iron that lead to the underlying dopaminergic abnormalities. Therapeutically, studies have confirmed the effect of levodopa and dopamine agonists; dopamine agonists seem to imply less risk of side effects.
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Chemical injuries to the eye represent a significant fraction of ocular trauma requiring immediate treatment. Severe injuries might lead to serious visual impairment. This study reviews the frequency, cause, and results of treatment of all cases of chemical eye injuries in patients presenting in the section for ophthalmology at St. Olav University Hospital over a three-year period. ⋯ Most chemical eye burns are mild injuries with no lasting adverse effects. Immediate irrigation of the eye is the most important treatment. Therapeutic procedures for eye burns should be based on the latest research results. Prophylactic efforts should be increased in order to bring down the frequency of burns.