Tidsskrift for den Norske lægeforening : tidsskrift for praktisk medicin, ny række
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Tidsskr. Nor. Laegeforen. · Oct 1989
[Accidental hypothermia. Physiopathology, clinical manifestations and treatment].
The article reviews pathophysiology and clinical problems. During deep hypothermia, criteria for death are obscured. Prehospital treatment should be vigorous resuscitation on broad indications. ⋯ Rewarming should take place in hospital only. Different methods of rewarming are discussed. Probably the best way to treat deeply hypothermic victims is by cardiopulmonary bypass.
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Tidsskr. Nor. Laegeforen. · Oct 1989
[Musculoskeletal diseases. A review of musculoskeletal diseases and environment].
The article discusses the remarkably high prevalence of occupationally induced muscle pain and musculoskeletal diseases. The causes of this group of pain/disorders are complex. The increasing economic consequences, and the problems, call for research on practical prophylaxis. It is emphasized that research on environment and health should include sociopsychological conditions at work.
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The use of torture has been reported in about 98 countries during the early eighties. Its primary purpose is to paralyse all opposition to the government. ⋯ The article gives a brief overview of different methods of torture and the medical consequences for the victim. It also mentions some specific difficulties experienced by Norwegian doctors when treating refugees who have been tortured.
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Tidsskr. Nor. Laegeforen. · Jun 1989
[Physicians and the death penalty. Physicians' participation in the death penalty and executions].
Doctorss' participation in the death penalty and in executions is described from the literature on the subject. Expert testimonies from psychiatrists during death penalty trials, concerning the mental condition and the possibility of future violent behaviour of the person charged, are of decisive importance for whether the death penalty is imposed or not. ⋯ The doctor monitors the execution and gives advice to the executioner; at an intravenous execution the doctor and medical technique are further involved. It is concluded that doctors should not participate in the death penalty and executions, and that they should discuss ways of achieving such a situation.
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In 1986 and 1987 the department of orthopaedic surgery at the Central Hospital of Esbjerg dealt with 135 medical problems by radio-telephone contacts to persons at sea. Of these, 28% needed a chartered helicopter. This eguals one third of all chartered helicopter evacuations from Danish waters. 77% of the evacuations were from fishing boats and the rest from offshore structures or other kinds of ships. The mechanism of trauma and the diagnosis agreed with the findings in an earlier Danish publication.