| 1. |
|
|
| 2. |
- Ekvall-Hansson, Eva, et al.
(författare)
-
Effects of specific rehabilitation for dizziness among patients in primary health care. A randomized controlled trial.
- 2004
-
Ingår i: Clinical Rehabilitation. - : SAGE Publications. - 1477-0873 .- 0269-2155. ; 18:5, s. 558-565
-
Tidskriftsartikel (refereegranskat)abstract
- Objective: To investigate whether specific rehabilitation for patients with dizziness has any effect on clinical balance measures and/or the apprehension of dizziness measured with a visual analogue scale (VAS). Design: Randomized controlled trial. Subjects: Forty-two patients, 50 years or older with dizziness of central or agerelated origin, identified in primary health care. Method: The patients were randomized to either an intervention or a control group. The intervention included balance training and vestibular rehabilitation in group sessions twice a week for six weeks. All patients were assessed at baseline, after six weeks and after three months with five different balance measures and visual analogue scale. Results: Statistically significant differences were found between the two groups comparing results at baseline and after six weeks regarding standing one leg eyes closed (SOLEC) on right foot (p 0.011). Results of SOLEC right foot after three months differed significantly between the groups (p -0.033) as did SOLEC left foot (p -0.035). No difference between the groups were found in the Romberg test, figure of eight, walking heel to toe, ‘stops walking when talking’, standing one leg eyes open or estimating the experience of dizziness measured with visual analogue scale. Conclusions: Balance training and vestibular rehabilitation improved the ability to stand on one leg with eyes closed in persons with dizziness aged 50 years or over.
|
|
| 3. |
|
|
| 4. |
- Ekvall-Hansson, Eva, et al.
(författare)
-
What happens with the dizzy patient in primary health care? Does education influence treatment?
- 2004
-
Ingår i: Advances in Physiotherapy. - : Informa UK Limited. - 1651-1948 .- 1403-8196. ; 6:2, s. 93-96
-
Tidskriftsartikel (refereegranskat)abstract
- Dizziness is a common symptom, and recent research shows that physical activity and specific treatment of vertigo and dizziness are effective. The management of dizzy patients requires assessment and, when appropriate, treatment by a physiotherapist. We have therefore studied how general practitioners (GPs) handle patients with vertigo and dizziness, to find out whether treatment follows current research, emphasizing the importance of physical activity and vestibular rehabilitation. We also wanted to find out whether information and education concerning the importance of physiotherapy and rehabilitation had any influence on the choice of treatment. Searches were performed in medical records at two health care centres on two occasions, in 1998 and 2000. In 1999, an intervention in the form of education was given to the staff. Records from the 311 patients with dizziness/vertigo identified in the searches were read and measures taken by the GPs were registered. The most common procedures - blood tests, control of blood pressure and ECG - were more common in 2000 than in 1998. No patients were left without any measure in 2000, which was the case in 1998. Only a few patients were referred to physiotherapy (8% in 1998 and 12% in 2000). It seems that the intervention did not affect the ratio of patients referred to physiotherapy.
|
|
| 5. |
|
|
| 6. |
- Johansson, Lennart, et al.
(författare)
-
Rapid test, throat culture and clinical assessment in the diagnosis of tonsillitis.
- 2003
-
Ingår i: Family Practice. - : Oxford University Press (OUP). - 1460-2229 .- 0263-2136. ; 20:2, s. 108-111
-
Tidskriftsartikel (refereegranskat)abstract
- Objectives. Our aim was to identify a group of patients with clinical signs of tonsillitis to whom antibiotics could be prescribed without further diagnostic actions, and to compare the outcome of clinical assessment with the result of an antigen detection test using culture as the gold standard. Methods. During two winter months, patients aged >=4 years attending for sore throat at three primary health care centres in Malmö, Sweden, were examined. Odds ratios, sensitivities, specificities and predictive values were calculated for clinical assessment and for an antigen detection test. Results. Among the 169 participating patients, growth of group A ß-haemolytic streptococci (GAS) was found in 53 cultures, and 23 patients (14%) were clinically assessed as ‘absolutely positive’, representing positive clinical assessment. Nineteen had positive cultures for GAS. The sensitivity, specificity and predictive positive and negative value for the antigen detection test were 82, 96, 90 and 93%, respectively, and for positive clinical assessment 36, 97, 83 and 77%. Conclusion. It is possible to identify a small group of patients with convincing signs of tonsillitis in which the specificity as well as the predictive positive value of the rapid test and the clinical assessment are close to equal. Antibiotics may be prescribed to these patients without further diagnostic actions. Keywords. Antigen detection test, clinical assessment, rapid te
|
|
| 7. |
- Månsson, Nils-Ove, et al.
(författare)
-
Is there an interaction between self-rated health and medication with analgesics and hypnotics in the prediction of disability pension?
- 2002
-
Ingår i: Scandinavian Journal of Public Health. - : SAGE Publications. - 1651-1905 .- 1403-4948. ; 30:4, s. 267-273
-
Tidskriftsartikel (refereegranskat)abstract
- Aims: Several studies have shown that self-rated health (SRH ) is associated with drug use. The aim of this study was to investigate the possible interaction between SRH and use of analgesics and hypnotics and its ability to predict disability pension. Methods: In 1974-78, complete birth-year cohorts of middle-aged male residents in Malmö, Sweden, were invited to a health screening, and the cohort in this study comprised 5,798 men with complete data followed up for 11 years. Results: At inclusion, 27% rated their health as less than perfect, 11% used analgesics, 3% used hypnotics and, during follow-up, 12% received a disability pension. The adjusted hazard ratios of disability pension were 3.1 (CI: 2.6, 3.6) for those who had rated their health as less than perfect and 2.7 (2.3, 3.2) for subjects who used analgesics and/or hypnotics. For subjects with the combined risk of poor SRH and medication, the hazard ratio was 5.5 (4.6, 6.5). The granting of disability pension attributable to the interaction between poor SRH and medication was estimated at 47%, which was statistically significant. Conclusions: Disability pension among middle-aged men was associated with self-rated health as well as medication and clear evidence of synergism between the two factors was found, while there were no indications of medication acting as a causal link between poor SRH and disability pension. Several mechanisms may contribute to the findings, but the information gained may be used as means to identify those at risk for disability pension.
|
|
| 8. |
- Månsson, Nils-Ove, et al.
(författare)
-
Self-rated health as a predictor of disability pension and death--a prospective study of middle-aged men
- 2001
-
Ingår i: Scandinavian Journal of Public Health. - : SAGE Publications. - 1651-1905 .- 1403-4948. ; 29:2, s. 151-158
-
Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: Self-rated health (SRH) is increasingly attracting attention as a predictor of morbidity and mortality while its relation to impaired function has been given less momentum. The aim of this study was to assess the relation between SRH and the risk of being awarded a disability pension and premature death. METHODS: Five birth-year cohorts of middle-aged men were invited to a screening programme and were followed for approximately 11 years. Of the 718 (12%) men with a disability pension granted during follow-up, 46% had perceived their health as perfect on inclusion. The corresponding figure for the remaining 5,082 men was 77%. RESULTS: The crude relative risk (RR) of disability pension for men with SRH less than perfect was 3.7 (3.2-4.2). After adjustment for premorbidity/medication, the RR declined to 3.3 (2.8-3.8). The crude RR of death associated with SRH less than perfect was 1.6 (1.3-2.0), unchanged after adjustment. CONCLUSION: The results showed that SRH is a strong and independent predictor of disability and, to a lesser degree, of mortality.
|
|
| 9. |
- Månsson, Nils-Ove, et al.
(författare)
-
The relation between self-rated health, socioeconomic status, body mass index and disability pension among middle-aged men
- 2001
-
Ingår i: European Journal of Epidemiology. - 1573-7284. ; 17:1, s. 65-69
-
Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to assess the relations between self-rated health (SRH), socioeconomic status (SES), body mass index (BMI) and disability pension. Five birth-year cohorts of middle-aged male residents in Malmo, Sweden, were invited and 5313 with complete data constituted the cohort in this study. Each subject was followed for approximately 11 years. Of all subjects, 73% perceived their health as perfect and among obese men and blue collar workers, the corresponding figures were 67 and 68% respectively. The adjusted odds ratios for SRH less than perfect was 1.3 (CI: 1.1-1.7) for obese subjects and 1.7 (CI: 1.5-1.9) for blue collar workers. The interaction between low SES and obesity was estimated to 11% which was not statistically significant. The adjusted relative risks (RR) of disability pension was 3.3 for subjects with SRH less than perfect, 2.2 for blue collar workers and 2.0 for obese subjects, all statistically significant and only marginally less than the crude RR. Thus, SRH among middle-aged men was associated with obesity as well as low SES, but no evidence of synergism between obesity and low SES in relation to SRH was found. Furthermore, poor SRH in particular, but also low SES and obesity, independently predicted disability pension.
|
|
| 10. |
- Månsson, Nils-Ove, et al.
(författare)
-
The use of analgesics and hypnotics in relation to self-rated health and disability pension - A prospective study of middle-aged men
- 2001
-
Ingår i: Scandinavian Journal of Public Health. - : SAGE Publications. - 1651-1905 .- 1403-4948. ; 29:2, s. 133-139
-
Tidskriftsartikel (refereegranskat)abstract
- Aims: This cohort study on urban middle-aged men investigates the association between the use of analgesics and hypnotics, self-rated health (SRI-I) and disability pension. Methods: Five birth-year cohorts of middle-aged, urban, Swedish men were invited to a screening programme and were followed for approximately 11 years. Results: Out of all the subjects (n = 5798), 12.4% received a disability pension during follow-up, 27.0% rated their health as less than perfect, 10.6% used analgesics and 2.9% used hypnotics. Compared with non-users of analgesics and hypnotics, the adjusted hazard ratio of disability pension for the simultaneous use of both drugs was 7.0 (95% CI: 4.3, 11.6) and the adjusted odds ratio of poor SRH was 16.5 (6.3, 43.5). Thus, the use of analgesics and hypnotics was positively related to poor SRH and predicted award of a disability pension within an Ii-year follow-up. This may reflect that the use of analgesics and hypnotics is a proxy of disease but an independent negative effect on health cannot be excluded. Conclusions: Information on the use of these drugs could be used to predict the award of a disability pension, such as in different geographical areas or population groups.
|
|
