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The aim of this observational study
was to biochemically characterize the anaemia in GCA (giant cell arteritis) and
PMR (polymyalgia rheumatica) patients. Values for mean corpuscular volume, mean
corpuscular hemoglobin and soluble transferrin receptor were normal, whereas serum iron and total iron
binding capacity (TIBC) were subnormal, and mean ferritin was above the upper
reference limit. Iron-restricted erythropoiesis (IRE), defined as a bone marrow
smear staining positive for iron in combination with transferrin saturation
less than 20%, was present in all patients. All patients exhibited clinical and
biochemical signs of active inflammation with elevated C-reactive protein and
an increased erythrocyte sedimentation rate.
The article focuses on the experiences of community care workers in the encounter with older persons suffering from mental health problems, such as mental illness and disability. The purpose is to describe and discuss opportunities for and challenges to reciprocal encounters with these older people in community care, based on statements from professionals interviewed. Structured conversations with five focus groups were organised, consisting of 26 participants, including nurses’ assistants, assistant nurses, nurses, social workers and occupational therapists. The participants in the focus groups highlight the essence of being involved and create space for a reflective attitude. Clinical implications will be presented as well.