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Biomedical subjects

B Grünfeld

Publications and source records attributed to B Grünfeld.

At least 37 records · Page 2Linked to original sources
PubMed1992

[Physicians in crisis--loss of authorization and licensure].

In May 1991 the Norwegian Directorate of Health had for consideration 57 cases where it was necessary to assess whether the persons concerned were fit to execute their profession of medical practitioner. In 22 of these cases the doctors were regular drug abusers. Three had been sentenced by court to forfeit their authorization, and 42 had been deprived of the right, or had voluntarily abdicated the right, to prescribe certain drugs (mainly those containing opiates and benzodiazepines). The authors discuss various factors conducive to the increase in recent years of doctors who are deprived of their authorization to practice medicine. Prophylactic measures, such as a tutorial arrangement and health care system for doctors, are considered.

Adult↗
PubMed1992

[Use of health insurance and social benefits among immigrants in Oslo].

An investigation of sickness and social benefits paid during weeks 37 and 39 of 1989 to African and Asian immigrants living in Oslo showed that the consumption of these benefits by this part of the population was much higher than among Norwegian-born persons in the age groups 20 to 66 years. The immigrants received more support and money than the Norwegians did, and for a longer period. They were also younger than the Norwegians. The impaired health status among the immigrants seem to be connected to their poorer working conditions, since many of them had had unskilled jobs involving greater risk to health. A fairly large number of the immigrants receive more or less permanent public benefits. It has been difficult to find suitable jobs, which has led to widespread unemployment among this group of the Oslo population.

Adult↗
PubMed1992

[Long-term sick-leave patients in Oslo. A follow-up study].

A follow up study of 395 patients in Oslo with long-term sickness certificate (certificate II) in September 1989, and having been absent from work for more than eight weeks, showed that 52% were on sick leave six months after the doctor's initial certification. At the end of 1990 (the end of the observation period) 43% were still considered unfit for work due to impaired health. A majority of these patients were in receipt of a permanent or semipermanent pension. The most common medical conditions causing long-term sick leave were musculo-skeletal complaints and mental disorders, usually anxiety states or depression. The health authorities introduced the long-term sickness certificate with the intention of deciding plans for treatment, and for social and vocational rehabilitation as early as possible during the period of sickness. Our findings indicate that these certificates are of limited value as regards the intention to reduce permanent vocational disability.

Absenteeism↗
PubMed1991

[Disease during pregnancy. Sick-listing among pregnant women in Oslo].

Sick leave among pregnant women has been studied. A large majority of employed women were granted certification of illness, mainly in the last trimester of pregnancy. The average period of absence was 9.6 weeks. 15-20% of the pregnant women received prolonged certification of illness, with an average absence from work of 18 weeks. The most common medical causes of sick leave were health problems associated with painful conditions in the back and pelvic region. There are indications that the amount of absence from work due to illness is growing among pregnant women. We discussed the reasons for this development. Granted absence from work, with compensation for loss of salary during the last weeks of pregnancy could contribute to "demedicalize" the need of leave of absence from work for most women.

Absenteeism↗
PubMed1991

[Disability pensions and long-term sick-listing in Oslo--a study of different city districts].

In Oslo there are significant differences in the incidence and prevalence of medically determined disability pensions. In regions with a population characterized by low level of education and low annual income the prevalence of disability pensions is high in relation to regions with a highly educated and high income population. The main reasons for a disability pension are mental complaints, mainly anxiety and depressive states, and musculo-skeletal disorders (chronic states of muscular pain). In recent years subjective symptoms have become an increasingly more important reason for disability pensions. Social and economic factors, possibility of employment, and other non-medical factors seem to play a more determining role than ill health in the process leading to disability.

Adult↗
PubMed1991

[High and low use of insurance benefits. A comparison of 2 Norwegian municipalities--Båtsfjord in Finnmark and Vik in Sogn and Fjordane].

Health insurance benefits and social welfare support has been investigated in two municipalities in Norway, Båtsfjord in the northernmost part of the country and Vik, in the county of Sogn and Fjordane in the western region. Båtsfjord is mainly a fishing community and 30% of the inhabitants aged 16-66 were receiving health insurance benefits, as compared to 8% in Vik, where the main sources of income are agriculture, industry and tourism. More than half of the insurance benefits contributions were permanent pensions. In addition 12% of the population in Båtsfjord and 1% in Vik received social welfare benefits. Most of the recipients of these benefits were younger than 35 years. The authors discuss the main reasons for these differences in public economic support among residents of the two municipalities. Factors such as level of education, conditions on the labour market and attitudes among the population and health personnel concerning public economic assistance through the health insurance system seem to be conducive to the steadily higher consumption of public welfare benefits.

Adolescent↗
PubMed1991

[Disability pensions among immigrants in Oslo].

The prevalence of vocational disability pensions is now much higher among immigrants from Pakistan, Turkey and Morocco who settled in Norway in the late 1960' and early 1970' in order to find work than among the Norwegian population in general. The present study covers two cohorts of males and females aged 40-44 and 50-54 years of age in receipt of disability pensions. Musculoskeletal pain syndromes are far more prevalent among the immigrants as basis for a pension than among the Norwegian disabled population. In contrast, psychiatric diagnoses are less frequent among the immigrants. The above differences are discussed. The living conditions and particularly the working conditions of the immigrants, whose jobs are characterized by physical hardships and long working hours, may be an important reason for the high prevalence of vocational disability. Psychiatric diagnoses may be concealed because of their stigmatizing nature. Early retirement from work is more common in the countries from where the immigrants came and they thus tend to apply for a disability pension. This means that the Norwegian insurance system, with its rather liberal policy of consent, takes over many of the social and economic obligations which were traditionally part of family and kinship obligations in the former culture of the immigrants.

Adult↗
PubMed1990

[Forensic psychiatric examination of arsonists].

The 116 persons charged with arson in Norway during the years 1980-87 are characterized by poor education, and lack of vocational, marital and social adjustment, combined with alcohol and some drug abuse. Few were psychotic at the time of the arson. Personality disturbance, mostly of an antisocial character was the most prominent diagnosis. Few were sexually deviant. Thoughts and feelings of vengeance, anger and hostility, combined with dysphoria or depression, were common at the time of the arson. Excitement, followed by release of tension upon lighting the fire is frequently reported. Sexual emotions were rather uncommon.

Adult↗