Tidsskrift for den Norske lægeforening : tidsskrift for praktisk medicin, ny række
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The aim of this article is to give an overview over the associations between self-harm and eating disorders, and to present theoretical models to interpret such associations. Common phenomenological characteristics between these conditions are emphasized. ⋯ Self-harm and eating disorder represent disturbed regulation of affects, and both practices can be interpreted as attempts of active coping.
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Calprotectin is a calcium-binding protein found in neutrophils. Increased levels are found in stools after mucosal damage due to inflammation, which causes influx of neutrophils into the gut lumen. ⋯ Correct use of the test can therefore contribute to reducing the number of unnecessary colonoscopies, which is especially important in children. Faecal calprotectin is a simple test and an objective parameter of inflammatory disease activity which is useful for assessment of disease course and monitoring of response to medical treatment in patients with inflammatory bowel disease.
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Certain aspects (frequency and management) of medical emergencies in Norwegian communities are not adequately documented. Previous studies indicate an annual case incidence rate of about 10 per 1000 inhabitants. This article presents results of a recording of medical emergencies (during a 2-year period) in the Norwegian island community Austevoll (4400 citizens) south of Bergen (without a mainland connection). ⋯ This study estimates a higher incidence of medical emergencies than previous records. A likely reason is that the municipal medical services have been the point of observation in our study, while previous studies have counted incidents recorded in the emergency medical communication centres.
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Tidsskr. Nor. Laegeforen. · Apr 2009
[Development of events in medical emergency situations in a rural community].
A comprehensive study of medical emergency situations in a rural community in Norway has been undertaken for the first time. Some results from this study are presented; i.e. data on events (types and management) that occur in medical emergency situations. ⋯ For emergency medicine work general practitioners should focus on training fundamental practical skills. The doctors and the ambulance personnel have complementary roles in handling of medical emergency events. Ability of obtaining an adequate overall view of the patient's condition is an important aspect of the doctor's role.
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Tidsskr. Nor. Laegeforen. · Apr 2009
Case Reports[A 62-year-old woman with non-pitting leg oedema].
A patient presented with non-pitting lymphoedema of the legs and finger clubbing. A skin biopsy showed epidermal hyperkeratosis and abundant mucinous material (Alcian blue positive) in reticular dermis. Treatment (radioactive iodine) for Grave's disease (with exophthalmus) 20 years ago, raised suspicion of thyroid dermopathy. ⋯ Pretibial myxoedema relates to scars, mechanical factors, and dependent position. Lack of steroid treatment during radioactive iodine therapy and smoking, may have exacerbated the thyroid dermopathy in this case. Awareness of pretibial myxoedema as a late autoimmune manifestation of Graves' disease, may contribute to earlier diagnosis and correct treatment.