| 1. |
- Halling, Anders, et al.
(författare)
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Diagnosis and treatment of heart failure in primary health care among elderly patients with non-insulin-dependent diabetes mellitus, with special reference to use of echocardiography
- 2003
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Ingår i: Scandinavian Journal of Primary Health Care. - OSLO : TAYLOR & FRANCIS AS. - 0281-3432 .- 1502-7724. ; 21:2, s. 96-98
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Tidskriftsartikel (refereegranskat)abstract
- Objective-The aim of the present study was to describe how the diagnosis of heart failure (HF) was assessed, aetiology and management in elderly patients with non-insulin-dependent diabetes mellitus (NIDDM) in primary health care, with special reference to use of echocardiography. Design-Descriptive retrospective investigation. Setting-Ronneby and Karlskrona communities, both situated on the Swedish south-east coast, 28,600 and 60,600 inhabitants, respectively. Patients-279 patients with NIDDM, mean age 77 years (range 70-85). Main outcome measures-Prevalence, aetiology, diagnostic procedures and management of HF. Results-The majority of patients were given the diagnosis of HF mainly as a result of clinical examination, ECG and chest X-ray, or of hospitalisation for HF. The diagnosis of HF by the primary care physicians was based on an objective evaluation of cardiac function in 8% of the patients. Hypertension was the predominant associated disease, followed by ischaemic heart disease (IHD). Therapy included diuretics (91%), angiotensin-converting enzyme (ACE) inhibitors (43%) and digoxin (53%). Conclusion-There is still a gap between current management of HF in primary care and guidelines, particularly in the case of diagnosis that is not generally based on an objective evaluation of cardiac function.
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| 2. |
- Johansson, Anders, et al.
(författare)
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Associations between social and general health factors and symptoms related to temporomandibular disorders and bruxism in a population of 50-year-old subjects.
- 2004
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Ingår i: Acta odontologica Scandinavica. - : Informa UK Limited. - 0001-6357 .- 1502-3850. ; 62:4, s. 231-7
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this epidemiological study was to examine associations between temporomandibular (TMD)-related problems and variables from three domains: (1) socio-economic attributes, (2) general health and health-related lifestyle, and (3) dental attitudes and behaviors. The overall response rate to a questionnaire mailed to the total population of 50-year-old subjects in two Swedish counties (8,888 individuals) was 71%. Among the 53 questions in the questionnaire, those related to social, general health, and health-related factors were used as independent variables in logistic regression models. Three TMD-related symptoms and reported bruxism were used as dependent variables. Impaired general health was the strongest risk factor for reported TMD symptoms. Along with female gender and dissatisfaction with dental care, impaired general health was significantly associated with all three TMD symptoms. A few more factors were associated with pain from the TMJ only. In comparison, reported bruxism showed more significant associations with the independent variables. In addition to the variables associated with TMD symptoms, being single, college/university education, and daily tobacco use were also significantly correlated with bruxism. Besides female gender, impaired general health, dissatisfaction with dental care, and a few social and health-related factors demonstrated significant associations with TMD symptoms and reported bruxism.
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| 3. |
- Johansson, Anders, et al.
(författare)
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Gender difference in symptoms related to temporomandibular disorders in a population of 50-year-old subjects
- 2003
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Ingår i: Journal of Orofacial Pain. - : Quintessence. - 1064-6655 .- 1945-3396. ; 17:1, s. 29-35
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- Aims: To investigate, by means of a mail questionnaire, the prevalence of symptoms related to temporomandibular disorders (TMD) in 50-year-old subjects living in the counties of Örebro and Östergötland, Sweden. Methods: The total population comprised 8,888 individuals, and the overall response rate was 71%. A clinical evaluation of the masticatory system was performed in subgroups to validate the responses to the questionnaire. There was satisfactory correspondence between self-reports and welldefined clinical conditions. Results: Women reported, more often than men, pain from the temporomandibular joints (TMJs), TMJ sounds, bruxism, sensitive teeth, and burning mouth symptoms. The prevalences of difficulties in jaw opening, loss of anterior teeth due to trauma, and masticatory problems were greater in men than in women. No gender difference was found in the number of remaining teeth. Logistic regression analysis with pain from the TMJ as the dependent variable identified bruxism, impaired chewing efficiency, and gender (women) as the most significant risk factors. With reduced chewing ability as the dependent variable, several missing teeth constituted the highest risk, followed by pain from the TMJ, bruxism, gender (men), and loss of anterior teeth due to trauma. Conclusion: There were significant gender differences in reported TMD-related symptoms in 50-year-old Swedes. Bruxism was a significant risk factor for pain from the TMJ. Reduced number of teeth and pain from the TMJ were significant risk factors for impaired chewing ability.
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| 4. |
- Unell, Lennart, et al.
(författare)
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Samhällsförändringar kan orsaka orala problem
- 2004
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Ingår i: Tandläkartidningen. - 0039-6982. ; 96:15, s. 44-47
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Tidskriftsartikel (refereegranskat)abstract
- Förändringar i samhället, till exempel ökad stress i arbetslivet, försäm-rade ekonomiska förhållanden och förändringar inom hälso- och sjuk-vården tycks öka förekomsten av tandvärk och orofaciala smärtsym-tom. För närvarande saknas dock systematiska studier som kan beläg-ga sådana fynd. I Örebro och Östergötlands län kontaktade man samtliga 50-åringar år 1992 och år 2002. Totalt svarade 6 343 respek-tive 5 798 (svarsfrekvens 71 och 70 procent) av de båda kohorterna på de frågeformulär som skickades ut. Av svaren framgår att det skett påtagliga förändringar i så väl demografiska förhållanden som arbets-livsförhållanden samt allmän och oral hälsa under 10-årsperioden. Prevalensen av en rad intraorala symtom samt symtom som kan rela-teras till störningar i tuggsystemet ökade avsevärt under perioden. Ökningen av orofaciala symtom bör uppmärksammas både av sam-hället och tandvården.
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