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Biomedical subjects

K Noreik

Publications and source records attributed to K Noreik.

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↗
PubMed1992

[Sick-listing II--an evaluation of rehabilitation assistance].

Patients certified as sick for more than eight weeks qualify for sickness benefit scheme No. 2. 38 patients in this group who suffered from various indefinite diseases were called in to consultation with an advisory doctor. Patients with a high degree of motivation were later examined by a doctor specialized in occupational diseases. Information on all patients was obtained from the company medical service, personnel managers, and the doctors who had prescribed sick leave for the patients. The survey unveiled a low degree of cooperation and communication between the various personnel responsible for the patients. Furthermore, little was known about rehabilitation programmes at the different places of work. Only half of the employers knew about such opportunities. This lack of cooperation clearly indicates a need of greater involvement on the part of all parties concerned with these patients and for schemes of follow-up. The creation of such schemes might be the first step towards new and better relationships between the different kinds of personnel concerned.

Adolescent↗
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↗
PubMed1990

[Evaluation of sick leave notification II--a certificate for more than eight weeks sick leave. From the project Evaluation of follow-up of long-term sick leave patients].

An increase in sick leave has been registered by both the National Insurance Administration and by the Confederation of Norwegian Business and Industry. In 1988, expenditure on sick leave was NOK 20.7 billion. The same year the National Insurance Institution found that the average length of each sick leave was 49 days. An arrangement for notification of sick leave was enforced in order to strengthen follow up of persons in receipt of sick pay who had been off work for more than eight weeks. Our survey in Skedsmo shows that this arrangement is not commonly known among the public. In view of the increasing public consciousness about national insurance in general, the doctors who are required to submit notification of sick leave are of the opinion that this arrangement is a useful venture. It is difficult to conclude, however, that this arrangement has been of any benefit to the individual patient. The national insurance office has registered a decrease in expenditure on sick leave, but the work load of officials in the administration has increased.

Absenteeism↗
PubMed1990

[The sick leave notification II system. From the project Evaluation of follow-up of long-term sick leave patients].

In 1988 the National Insurance Administration in Norway introduced a compulsory sickness certificate to be issued by the doctor after eight weeks of incapacity of work (sickness certificate II). The form contains 25 specified items to be filled in by the doctor. We registered and analysed the sickness certificates received by the local National Insurance offices in five municipalities during the last three months of 1988 (n = 735). The patients included a slight majority of males. 1/3 of the patients were younger than 30 years old and 2/3 younger than 50. 1/4 of the items had not been filled in by the doctors. The most frequent diagnostic groups were musculo-skeletal/connective tissue diseases (46.4%), mental disorders (11.2%), and complications related to pregnancy and birth (9.6%). Sickness certificate II included a five-level prognosis scheme. 68.3% of the patients were allocated to prognosis A, i.e. full recovery as a result of medical treatment only. Few doctors noted that cooperation with other health and social welfare personnel was desirable. The level of unemployment was reported as being higher in patients who were certified sick for greater than or equal to 8 weeks than in the general population of the countries included in the study. The extra costs of introducing sickness certificate II are estimated to equal one day's sickness allowance for each of the 735 patients.

Absenteeism↗
PubMed1989

[Physicians' tasks in connection with application for disability pensions].

The article includes a general view of Disability Pensions in the National Insurance Scheme. Some statistics relating to Disability Pensions are included. We thoroughly examine the procedures for handling a new case, and the possible introduction of new ways of simplifying the procedures for dealing with new applications for disability pension. From the professional point of view, we discuss in detail the doctors task in regard to new applicants' demand for disability pension; in particular elderly patients over 64, and abusers of alcohol and drugs. We focus briefly on the diffuse diseases. We also consider the patients' right to read the medical certificate.

Disability Evaluation↗
PubMed1986

Recidivism among sex offenders: a follow-up study of 541 Norwegian sex offenders.

A study of recidivism to sexual offences was conducted among Norwegian males who had received their first conviction for a sexual crime during the years 1970-1974. Five hundred and forty-one out of a total of 1,071 offenders were randomly selected and followed by means of official and public register systems until the end of August 1983. No one was contacted personally by the investigators. The recidivism rate was 12.8%, with the rapists having the highest tendency to commit new sexual crimes. Acts like incest, exploitation of someone in the custody of the perpetrator or similar felonies against so-called public morals were least likely to be repeated. Most of the repeat offenders only had one single subsequent offence, either of the same type of crime as at the first or to a less severe crime. Only a handful committed more than one repeat offence. A large number of the sexual offenders had committed others types of crimes, some prior to their first conviction for the sexual crime and some subsequent. Most of our criminally convicted males had a record of mixed criminality, in which crimes of profit and violence dominated.

Adolescent↗