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Biomedical subjects

A Forsdahl

Publications and source records attributed to A Forsdahl.

At least 37 records · Page 2Linked to original sources

Practical training of medical students in community medicine. Eight years experience from the University of Tromsø.

From its beginning, the Medical School at the University of Tromsø aimed at obtaining a better balance between clinical medicine, basic science and community medicine in its curriculum. This was obtained by using the integrated model for teaching, having a separate study-block for community medicine, incorporating field work in local hospitals and with district doctors and requiring the students to write a scientific paper before qualifying. The 8-week field training with a district doctor started in 1978. Evaluations from these eight years have been analysed and show that students, during these eight weeks, are involved in many aspects of family- and community medicine. The programme has been given positive evaluations from both students and teachers. We conclude that the field training given to medical students in Tromsø is an efficient way of preparing the medical students for future clinical work both inside and outside institutions.

Clinical Clerkship↗

The Tromsø heart study: coronary risk factors and their association with living conditions during childhood.

We examined the relation between questionnaire answers concerning living conditions during childhood and coronary risk factors in 7405 men and 7247 women. Poverty during childhood was positively associated with age-adjusted levels (p less than 0.05) of total cholesterol and percentage of current smokers (men only) and negatively associated with body height. When cholesterol was adjusted for age, body mass index, leisure time physical activity, coffee and alcohol consumption, and cigarette smoking there was a significant linear trend in women (p less than or equal to 0.0001) but not in men (p = 0.224). Analysing only subjects born in Troms county, giving a more homogeneous population, the linear trend became significant (p = 0.011) for men also. We conclude that childhood poverty followed by a high standard of living operates, at least partly, as a risk factor for coronary heart disease through conventional risk factors.

Adult↗

Living conditions in childhood and subsequent development of risk factors for arteriosclerotic heart disease. The cardiovascular survey in Finnmark 1974-75.

Several studies in Norway have shown large differences in risk factors for arteriosclerotic heart disease among municipalities. Today it is difficult to show specific differences in the standard of living between the various municipalities to explain these findings. However, such differences have previously existed, and were expressed by, for example, the variations in infant mortality from one municipality to another. In this work a significant positive correlation is shown between the cholesterol values among men and women aged 35-49 years and the infant mortality rate previously present in the municipalities for the same cohort. The findings indicate that poverty in childhood and adolescence, followed by later prosperity, results in high cholesterol values. The findings are related to previous work where a significant positive correlation was shown between infant mortality rates and later mortality rates from arteriosclerotic heart disease.

Adult↗

Are poor living conditions in childhood and adolescence an important risk factor for arteriosclerotic heart disease?

Norwegian counties show considerable variations in their rates of mortality from arteriosclerotic heart disease. These variations cannot be explained by present-day differences in standard of living. Such differences did exist in the past as was shown by large variations in infant mortality. A significant positive correlation has been found between the county age-adjusted mortality from arteriosclerotic heart disease in people aged between 40 and 69 years and county infant mortality relating to the early years in the same cohorts. The findings suggest that great poverty in childhood and adolescence followed by prosperity, is a risk factor for arteriosclerotic heart disease.

Adolescent↗

Cord blood cholesterol, triglyceride, and lipoprotein pattern from two districts in Norway.

Lipid levels of cord blood from two districts in Norway were studied. Although the mean levels of cholesterol and triglycerides in the two populations were similar, high cord blood lipid levels were more frequently found in a population in Finnmark in northern Norway than in Bergen in western Norway. In Bergen the 95-percentile value for both cholesterol and triglycerides was 90 mg/100 ml. In Finnmark the corresponding values were 100 and 115 mg/100 ml. The lipid levels in cord blood from children of Norwegian, Finnish, and Lappish origin were nearly identical. The frequency of lipoprotein subfractions as distinct bands between beta and pre-beta fractions in polyacrylamide gel electrophoresis was the same in the two populations. Thus no genetic difference was found in lipoprotein patterns of cord blood in the populations of western and northern Norway.

Cholesterol↗