[Rehabilitation prior the adult life is important but prejudiced attitudes are an obstacle].
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Biomedical subjects
Publications and source records attributed to M Steen.
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50 Norwegian doctors selected at random from the population of general practitioners who were neither recognized specialists nor enrolled in the specialist training programme, were interviewed by telephone about their own postgraduate training and their attitude towards the system of specialist training for general practitioners. Their educational activities and needs differed very little from those described in previous surveys among Norwegian practitioners. All the younger doctors were determined to enroll in the specialist training programme, but many thought that this might be difficult for family reasons. Most of the doctors above the age of 40 lacked the motivation for specialist training. The doctors expressed a variety of different attitudes towards the system of specialist training, including certain conflicts of loyalties and values.
50 Norwegian doctors selected at random from the population of general practitioners who were neither recognized specialists nor enrolled in the specialist training programme, were interviewed by telephone about the need for postgraduate hospital training and the obstacles involved. Most of the doctors expressed a strong need for the education provided by such training. The most important obstacles to hospital training were personal domestic reasons, concern for the functioning of the practice and concern for the emotional problems the hospital work might cause. Strategies are suggested to make it easier, in practice and emotionally, to do hospital training.
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The authors report a case of ulnar nerve compression caused by an abductor digiti minimi longus. After resection of the muscle the patient recovered well.
Trypanosomes were isolated by culture from 2 out of 50 blood samples collected from reindeer (Rangifer tarandus L.) in northern Sweden and from a blood sample from a moose (Alces alces) from Southern Sweden. The parasites were indistinguishable morphologically from other trypanosomes reported from cervids, both as epimastigotes in axenic culture at 27 degrees C and as bloodstream-like trypomastigotes cultured on mammalian fibroblasts at 37 degrees C. Surface carbohydrate and isoenzyme comparison of these isolates with four American isolates, from reindeer (Rangifer tarandus), mule deer (Odocoileus hemionus), moose (Alces alces) and elk (Cervus canadensis), are reported. The isoenzyme patterns of the isolate from the Swedish moose were similar to those of the isolates from America while the patterns of the 2 isolates from the Swedish reindeer were considerably different from the others; these 2 isolates may represent a new species. Lectins can be used to distinguish between the trypanosomes of cervids.
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Hypertrophic scars and tissue defects are the most common cause of functional and aesthetic problems in the head and neck of burn patients. For reconstructive surgery full-thickness or split thickness skin grafts are preferred. Pedicled flaps or free flaps are mostly used to correct contractures in the neck. The transplantation of bone or cartilage and tissue expansion are also used for special indications.
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This article discusses Showalter's (1985) description of the historical perspectives of how women have been viewed in the culture and how these perspectives have influenced women's past treatment for mental illness. Using Caplan's (1974) level of prevention in health care and a feminist framework, suggestions are made for prevention or alleviation of depression in women in the contemporary culture. In The Female Malady, Showalter (1985) described three themes that were prevalent through three historical phases of English psychiatry: psychiatric Victorianism (1830-1870), psychiatric Darwinism (1870-1920), and psychiatric Modernism (1920-1980). Showalter described how the prevailing attitudes toward the mentally ill, and toward women in particular, were influenced by the social changes of each historical phase and how these attitudes affected the thinking and treatment used by the psychiatrists. The problems that these historical perspectives have caused for women are discussed. A feminist view of depression is given in which depression is equated with oppression. The guidelines for feminist therapy developed by the Task Force of the Feminist Therapy Collective, Inc., of Philadelphia and by feminist therapists in private practice in Philadelphia are discussed as an alternative to the traditional approach to therapy. Mental health promotion using Caplan's (1974) three levels of prevention in health care is discussed. Intervention strategies for each of these levels of prevention, following feminist guidelines and using techniques that have been found to be helpful for women, are described and discussed. The focus of these intervention strategies is to reduce effects of factors in the cultural environment that contribute to the oppression of women and, in turn, contribute to their becoming depressed.