Freedmanbrantley4774

Immigrant women are a vulnerable group within Norwegian prenatal care and have an increased risk of adverse pregnancy outcomes. The purpose of this exploratory literature review was to compile an overview of the available knowledge on the prenatal health of immigrant women in Norway.

The literature review covers 44peer-reviewed articles on the prenatal health of immigrant women in Norway. The articles reflect a variety of study designs and were published in the period 2000-2019. Searches were conducted in MEDLINE, Embase, Cochrane Library, CINAHL, PsycINFO, Maternity & Infant Care Database and SveMed+.

Frequently studied topics included gestational diabetes, obesity, hyperemesis gravidarum, preeclampsia and folate use. We found a considerable variation in the disease risk for different sub-groups of immigrants.

Little research has been conducted on especially vulnerable immigrant groups, such as new arrivals, undocumented immigrants and refugees. We recommend that future studies consider using a qualitative research design that sheds light on the experiences of immigrant families, as well as intervention studies that test the effectiveness of measures for improving prenatal care.

Little research has been conducted on especially vulnerable immigrant groups, such as new arrivals, undocumented immigrants and refugees. We recommend that future studies consider using a qualitative research design that sheds light on the experiences of immigrant families, as well as intervention studies that test the effectiveness of measures for improving prenatal care.

Severe pain following trauma has traditionally been treated with opioids. We wanted to investigate the incidence of pain in patients at our trauma centre, the type of pain relief they were given in the first two weeks after admission and the subsequent plan for pain management upon discharge.

The study included 40 severely injured adult patients who were conscious at admission. Data were obtained from the trauma register at Oslo University Hospital, from patient records and from interviews with all patients approximately two weeks after the injury was incurred. The patients were asked to indicate pain intensity from 0 to 10 on a verbal numeric rating scale (VNRS).

The average resting pain score was higher than 3 in the two-week period after the injury in 38% of the patients, and 48% reported having had a score higher than 3 for more than half of this period. All patients were treated with opioids and paracetamol during their hospital stay. In addition, 78% received epidural analgesics or nerve blockers, 35% received ketamine, 28% non-steroidal anti-inflammatory drugs (NSAIDs), 23% alpha-2 agonists and 10% gabapentinoids. Seventy-eight per cent were prescribed opioids upon discharge with no mention of a tapering plan in their discharge report.

Severely injured patients experience substantial pain in the first two weeks after trauma. Pain management in hospitals has room for improvement, and plans should be devised for opioid use and cessation after discharge.

Severely injured patients experience substantial pain in the first two weeks after trauma. Pain management in hospitals has room for improvement, and plans should be devised for opioid use and cessation after discharge.

Outside the cities, the medical services in the municipality are often centred around one GP practice. The local medical service is key to the municipality's healthcare preparedness. We wished to investigate how the healthcare personnel perceived the restructuring at their GP practice during the COVID-19 outbreak in March 2020, and the factors that facilitated and impeded the process.

The article is based on a focus group interview that was conducted with eight nurses and medical secretaries at Otta GP practice in June 2020. The interview was transcribed and analysed using systematic text condensation.

The informants described a chaotic and demanding situation, in which they had to deal with their own as well as the patients' fears. They found crisis management to be difficult in a situation where the leadership in the municipality were unaware of the challenges of the GP practice. Lack of guidelines from the authorities at the start of the outbreak gave rise to considerable uncertainty. Through collaboration and flexibility, the practice arrived at new ways of working in order to safeguard its running. This gave a strong feeling of coping and fellowship, and a greater awareness of the informants' own importance in the front line of crisis management.

The study elucidates the role of support staff in the face of a crisis for the GP practice. Competent employees with the latitude and tools to tackle the challenges quickly guided the practice from chaos to a new type of working day. The municipality could have supported the process by ensuring the necessary resources and general guidelines for prioritisation of tasks.

The study elucidates the role of support staff in the face of a crisis for the GP practice. Competent employees with the latitude and tools to tackle the challenges quickly guided the practice from chaos to a new type of working day. The municipality could have supported the process by ensuring the necessary resources and general guidelines for prioritisation of tasks.

Women residing in Oslo have had lower attendance in BreastScreen Norway than the national average. We explored attendance in BreastScreen Norway among immigrant versus Norwegian-born women in Oslo, compared to other counties in Norway.

We linked attendance data from BreastScreen Norway to sociodemographic data from Statistics Norway for 885 979 women offered mammographic screening in the period 1996-2015. We undertook descriptive analyses of attendance in the different counties for the group of invitees as a whole, and for Norwegian-born and immigrants by country of birth ('Western Europe, Northern America, Australia and New Zealand' and 'other countries'). STF-083010 price Furthermore, we estimated the predicted likelihood of attendance with the aid of logistic regression, using attendance (yes/no) as the outcome variable. Independent variables in the model included place of residence (Oslo/other counties), country of birth and interaction between these variables. In addition, we adjusted for age at the time of the invitation, education and marital status.