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Search Results: 1 - 10 of 5055 matches for " Helge Gar?sen "
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The quality of communication about older patients between hospital physicians and general practitioners: a panel study assessment
Helge Garsen, Roar Johnsen
BMC Health Services Research , 2007, DOI: 10.1186/1472-6963-7-133
Abstract: This study comprised referral and discharge letters for 100 patients above 75 years of age admitted to orthopaedic, pulmonary and cardiological departments at the city general hospital in Trondheim, Norway. The assessments were done using a Delphi technique with two expert panels, each with one general hospital specialist, one general practitioner and one public health nurse using a standardised evaluation protocol with a visual analogue scale (VAS). The panels assessed the quality of the description of the patient's actual medical condition, former medical history, signs, medication, Activity of Daily Living (ADL), social network, need of home care and the benefit of general hospital care.While information in the referral letters on actual medical situation, medical history, symptoms, signs and medications was assessed to be of high quality in 84%, 39%, 56%, 56% and 39%, respectively, the corresponding information assessed to be of high quality in discharge letters was for actual medical situation 96%, medical history 92%, symptoms 60%, signs 55% and medications 82%. Only half of the discharge letters had satisfactory information on ADL. Some two-thirds of the patients were assessed to have had large health benefits from the general hospital care in question. One of six patients could have been treated without a general hospital admission. The specialists assessed that 77% of the patients had had a large benefit from the general hospital care; however, the general practitioners assessment was only 59%. One of four of the discharge letters did not describe who was responsible for follow-up care.In this study from one general hospital both referral and discharge letters were missing vital medical information, and referral letters to such an extent that it might represent a health hazard for older patients. There was also low consensus between health professionals at primary and secondary level of what was high benefit of care for older patients at a general hospital.
Intermediate care at a community hospital as an alternative to prolonged general hospital care for elderly patients: a randomised controlled trial
Helge Garsen, Rolf Windspoll, Roar Johnsen
BMC Public Health , 2007, DOI: 10.1186/1471-2458-7-68
Abstract: In a randomised controlled trial 142 patients aged 60 or more admitted to a general hospital due to acute illness or exacerbation of a chronic disease 72 (intervention group) were randomised to intermediate care at a community hospital and 70 (general hospital group) to further general hospital care.In the intervention group 14 patients (19.4%) were readmitted for the same disease compared to 25 patients (35.7%) in the general hospital group (p = 0.03). After 26 weeks 18 (25.0%) patients in the intervention group were independent of community care compared to seven (10.0%) in the general hospital group (p = 0.02). There were an insignificant reduction in the number of deaths and an insignificant increase in the number of days with inward care in the intervention group. The number of patients admitted to long-term nursing homes from the intervention group was insignificantly higher than from the general hospital group.Intermediate care at a community hospital significantly decreased the number of readmissions for the same disease to general hospital, and a significantly higher number of patients were independent of community care after 26 weeks of follow-up, without any increase in mortality and number of days in institutions.An increasing demand among elderly for hospital beds and other health services make allocation of resources to the most efficient care level a vital issue [1]. In 1995 there were 42.8 admissions to general and university hospitals per 100 persons above 80 years in Norway. This increased by more than 40% to 60.8 in 2005 [2].Both in UK and Norway there is a particular challenge of Payment by Results where tariffs in general and university hospitals are set on a diagnosis and procedure-based system, which does not account for increased lengths of stay for patients with physical disability [3,4]. In the UK the number of persons with physical disability and a high level of need of care are estimated to increase by 54% by 2025, most of these will be o
Tuberculosis screening and follow-up of asylum seekers in Norway: a cohort study
Ingunn Harstad, Einar Heldal, Sigurd L Steinshamn, Helge Garsen, Geir W Jacobsen
BMC Public Health , 2009, DOI: 10.1186/1471-2458-9-141
Abstract: We assessed a national programme for screening, treatment and follow-up of tuberculosis infection and disease in a cohort of asylum seekers.Asylum seekers ≥ 18 years who arrived at the National Reception Centre from January 2005 to June 2006, were included as the total cohort. Those with a Mantoux test ≥ 6 mm or positive x-ray findings were included in a study group for follow-up.Data were collected from public health authorities in the municipality to where the asylum seekers had moved, and from hospital based internists in case they had been referred to specialist care.Individual subjects included in the study group were matched with the Norwegian National Tuberculosis Register which receive reports of everybody diagnosed with active tuberculosis, or who had started treatment for latent tuberculosis.The total cohort included 4643 adult asylum seekers and 97.5% had a valid Mantoux test. At least one inclusion criterion was fulfilled by 2237 persons. By end 2007 municipal public health authorities had assessed 758 (34%) of them. Altogether 328 persons had been seen by an internist. Of 314 individuals with positive x-rays, 194 (62%) had seen an internist, while 86 of 568 with Mantoux ≥ 15, but negative x-rays (16%) were also seen by an internist. By December 31st 2006, 23 patients were diagnosed with tuberculosis (prevalence 1028/100 000) and another 11 were treated for latent infection.The coverage of screening was satisfactory, but fewer subjects than could have been expected from the national guidelines were followed up in the community and referred to an internist. To improve follow-up of screening results, a simplification of organisation and guidelines, introduction of quality assurance systems, and better coordination between authorities and between different levels of health care are all required.As tuberculosis (TB) in native populations in Western countries decreases, the relative importance of cases among immigrants increases. Latent tuberculosis is preval
The role of entry screening in case finding of tuberculosis among asylum seekers in Norway
Ingunn Harstad, Geir W Jacobsen, Einar Heldal, Brita A Winje, Saeed Vahedi, Anne-Sofie Helvik, Sigurd L Steinshamn, Helge Garsen
BMC Public Health , 2010, DOI: 10.1186/1471-2458-10-670
Abstract: We aimed to assess the effectiveness of entry screening of a cohort of asylum seekers. Cases detected by screening were compared with cases detected later. Further we have characterized cases with active tuberculosis.All asylum seekers who arrived at the National Reception Centre between January 2005 - June 2006 with an abnormal chest X-ray or a Mantoux test ≥ 6 mm were included in the study and followed through the health care system. They were matched with the National Tuberculosis Register by the end of May 2008.Cases reported within two months after arrival were defined as being detected by screening.Of 4643 eligible asylum seekers, 2237 were included in the study. Altogether 2077 persons had a Mantoux ≥ 6 mm and 314 had an abnormal chest X-ray. Of 28 cases with tuberculosis, 15 were detected by screening, and 13 at 4-27 months after arrival. Abnormal X-rays on arrival were more prevalent among those detected by screening. Female gender and Somalian origin increased the risk for active TB.In spite of an imperfect follow-up of screening results, a reasonable number of TB cases was identified by the programme, with a predominance of pulmonary TB.In recent years most new tuberculosis (TB) cases in Norway have occurred among immigrants from high incidence countries. Rarely, new cases are due to transmission within the country [1].Low incidence countries have diverse policies on entry screening of immigrants from high incidence countries. These range from no screening at all, to pre-immigration screening or screening after arrival [2-4]. There is an ongoing discussion about the content and effectiveness of different screening programmes to control tuberculosis [5,6]. Studies of screening of tuberculosis among immigrants have given TB prevalences that range from 0.1-1.2% [7-10], that can be due to differences in the characteristics of the populations and the screening programmes.Previous studies have shown differences between cases detected by or outside the screening
Simplified Approximate Expressions for the Boundary Layer Flow in Cylindrical Sections in Plankton Nets and Trawls  [PDF]
Svein Helge Gj?sund
Open Journal of Marine Science (OJMS) , 2012, DOI: 10.4236/ojms.2012.22009
Abstract: Trawls and plankton nets are basically made up of conical and cylindrical net sections. In conical sections the flow will pass through the inclined net wall with a noticeable angle of attack, and then the flow, filtration and drag can be suitably modelled e.g. by a pressure drop approach [1]. In cylindrical and other non-tapered net sections, such as foreparts and extension pieces in trawls and plankton nets, the flow is directed along the net wall and is best considered in terms of a boundary layer. Boundary layer theory and turbulence models can be used to describe such flow, but this requires extensive numerical modelling and computational effort. Simplified approximate formulas providing a qualitative description of the flow with some quantitative accuracy are therefore also useful. This work presents simplified parametric expressions for boundary layer flow in cylindrical net sections, including the boundary layer thickness and growth rate along the net, the filtration velocity out of the net wall, the decrease in mass flux through the net due to the growing boundary layer, and the effect of twine thickness, flow (towing) velocity and the dimensions of the net. These expressions may be useful for assessing the existence and extension of a boundary layer, for appropriate scaling of boundary layer effects in model tests, for proper placement of velocity measurement probes, for assessing the influence on filtration and clogging of plankton net sections, and more.
Generalized Parton Distributions and Deep Exclusive Reactions: Present Program at JLab
Michel Gar?on
Physics , 2005, DOI: 10.1063/1.1871658
Abstract: We review briefly the physical concept of generalized parton distributions and the experimental challenges associated with the corresponding measurements of deep exclusive reactions.The first data obtained at Jefferson Lab for exclusive photon (DVCS) and vector meson (DVMP) electroproduction above the resonance-excitation region are described . Two upcoming dedicated DVCS experiments are presented in some detail.
Assessing Domains in Quality of Life―A Case Study  [PDF]
Sayanti Sen, Goutam Sen
Open Journal of Statistics (OJS) , 2014, DOI: 10.4236/ojs.2014.411089
Abstract: Mining in India has developed haphazardly with a significant part of mining activities being informal or unauthorised. Open cast quarries, coal washeries, thermal power plants, coke-oven plants, etc., contribute to serious air and water pollution. The aim of this paper is to assess the QoL of residents living in Jharia coalfield. In this study, QoL domains are analysed considering the social, cultural, environmental, health and economic condition of the study areas. A path model has been developed to analyse the cascading effect on domains. The purpose of investigating path model with overall quality of life was to contribute to the subjective wellbeing literature by analyzing the predictors of OQoL in the sample population. Therefore, OQoL was used as the dependent variable of a regression analysis using four domains as variables and leveraging path analysis method to arrive at the causal model.
On Value Premium, Part I: The Existence  [PDF]
Chi Fung Ling, Simon Gar Man Koo
Journal of Mathematical Finance (JMF) , 2011, DOI: 10.4236/jmf.2011.13014
Abstract: A great deal of academic research provides solid evidence that value investing generated better returns than growth investing from the early 1970s to the mid-1990s. However, the relatively poor performance of value stocks in the late 1990s generated suspicion that value investing was failing. Such claims were invalidated by empirical research showing that value stocks’ slump in this period was not caused by a change in fundamental patterns, but rather by investors’ overly-rosy expectations for new technology companies.
The Quality Management of Norwegian Universities and its Influence on University Libraries
Helge Salvesen
Liber Quarterly : The Journal of European Research Libraries , 2002,
Abstract: In recent years many universities in the western world have been going through different crises, most notably of a financial nature. To date the reaction has been to set up evaluation schemes, to reorganise, to create strategic plans for teaching, research and promotion policy, whilst retaining the classic values of the university. What has not been clearly grasped is that the crisis is very largely one of relevance.
The Quality Assurance System for Higher Education in Norway - with Particular Reference to the Library Services
Helge Salvesen
Liber Quarterly : The Journal of European Research Libraries , 2006,
Abstract: Since the Pan-European Bologna Declaration of 1999, which introduced a qualitative improving programme for higher education in Europe, governments in many countries have initiated significant university reforms. In Norway the reforms were introduced fully in the academic year 2003-2004. This paper identifies the reforms and tries to relate them to the ideologies of new public management, globalization and efficiency.
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