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T I Romøren

Publications and source records attributed to T I Romøren.

10 recordsLinked to original sources

[Emergency treatment of stroke patients--what does the primary health care do?].

Has new evidence concerning acute care for stroke patients changed medical practice in primary health care in Norway? What type of wards are currently used when stroke patients are admitted to hospital? These questions are discussed on the basis of data from telephone interviews with chief medical officers in a representative sample of 77 Norwegian local administrative areas (municipalities). 60% of the medical officers state that admission practices are more liberal now than five years ago. Less severe cases are admitted to hospital more often. 34% claim that there has been no change, and 1% report that the practice is stricter now than before. According to our informants, routines for transport, managing TIA and managing nursing home patients with acute stroke vary. 26% of all stroke patients have access to stroke units. In most cases (59%) an ordinary medical ward is the only option.

Cerebrovascular Disorders↗

[Rehabilitation of stroke patients in counties and municipalities. Status, development and aspects of cooperation].

This article describes rehabilitation services for stroke patients in Norwegian health care system as of November 1994. A telephone interview was carried out with chief medical officers in a representative sample of 77 primary health care districts. 47% of the informants reported that a 60-year-old patient with severe hemiplegia would receive rehabilitation in primary health care, 35% reported that this would take place in a hospital. The most frequent single offer for the case in hand would be a nursing home (35%). According to the medical officers, co-operation between primary and secondary health care on long-term rehabilitation of stroke patients is limited. Only 25% of our informants consider it useful. 67% claim that the rehabilitation provided at the secondary level is unsatisfactory. A review of plans currently prepared by the county health care authority shows that if they are implemented, stroke unit and rehabilitation wards will be the main components of future activities at this level of health care in Norway.

Aged↗

Chronic diseases and health inequalities in older persons in Botswana (southern Africa): a national survey.

OBJECTIVES: To evaluate the health status of older persons in Botswana, to report on the prevalence of common health conditions--typically chronic diseases, to assess the socio-demographic correlates of morbidity in this population, and to assess the associations between physical functioning and self-reported health and the common health problems presented. DESIGN: National, cross-sectional survey (12 rural areas, 3 urban centres), inclusive of clinical examinations. SAMPLE: 372 individuals (183 females, 189 males) aged 60-109 years. RESULTS: 68% of respondents reported musculoskeletal pain in two or more locations; 42% were found to be hypertensive; 36% reported dental problems; 32% had dermatological problems; 11% were blind (as defined); 9% had cognitive impairment; 7% were depressed. Multinomial regression analyses showed poor self reported health to be significantly associated with musculoskeletal pain (OR = 15.5), depression (OR = 9.7), incontinence (OR = 3.9), dermatological problems (OR = 3.0) and dental problems (OR = 2.3); hypertension, blindness and cognitive impairment did not show significant associations. CONCLUSION: A large number of older persons in Botswana suffer from one or more age-associated chronic diseases that may impair function and quality of life. Several of the conditions may be diagnosed and treated to optimise the individuals' functioning. Poor self reported health was associated with "painful conditions" which are commonly poorly managed or untreated.

Activities of Daily Living↗