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Biomedical subjects

M Nylenna

Publications and source records attributed to M Nylenna.

At least 55 records · Page 3Linked to original sources

Handling of scientific dishonesty in the Nordic countries. National Committees on Scientific Dishonesty in the Nordic Countries.

Despite a widely recognised need, most countries still have no coherent system to deal with scientific misconduct. Committees have been established by the national medical research councils in Denmark (1992), Norway (1994), and Sweden (1997), and by the Ministry of Education in Finland (1994), to deal with scientific misconduct--ie, to initiate preventive measures, to investigate alleged cases, or both. Each committee includes both scientifically and legally qualified members. The employing institutions are responsible for possible sanctions or punishments. So far, 47 cases have been accepted for investigation, the majority (25) being Danish. Disputed authorship was the most frequent reason for investigation. Junior researchers made complaints in only three of the investigated cases. Investigations have been completed in 37 cases; in nine cases, dishonesty was revealed--two of them were related to the same researchers. Cooperation between the four Nordic committees has shown close agreement on specific issues and cases, despite minor differences in definitions, organisation, and procedures.

Advisory Committees↗

["...to offer valuable and entertaining stuff". Reader survey of the Journal of the Norwegian Medical Association 1999].

The Journal of the Norwegian Medical Association performs regular reader surveys. 1,643 readers, (74%), i.e. 245 medical students (62%), 1,276 active physicians (78%) and 122 retired physicians (66%), responded in 1999 to a questionnaire on their use of and satisfaction with the journal. Two out of three had read or browsed through the six most recent issues of the journal. Two out of three readers seldom had time to read all the articles they wanted to read, and a quarter of the readers felt that the issues were published with too short intervals (30 per year). Clinical reviews were most frequently read, by all categories of readers. Female readers were interested in news and debates, while male readers were more interested in organisational matters. Nine out of ten said that the journal gave valuable information, and two out of five thought there should be more articles on ethics and legal issues. Time spent on each issue has declined throughout the 1990s, parallel to a general tendency for Norwegians to spend less time reading various publications, and the increased quest for physicians' time and attention from various publishers and producers. The majority of readers are content with the journal in its present form, but there seems to be a potential for improvement, particularly with regard to stimulating clinical research and excellence, and to promoting health policy issues. In its 119th year of existence, the journal still plays a major role in the professional update of Norwegian physicians.

Clinical Competence↗

[Moderation--a virtue of necessity].

The virtue of moderation is not highly acclaimed in modern society; nor, indeed, in modern medicine. However, moderation is still called for, and not only in relation to the pursuit of pleasure; moderation is also needed in the pursuit of perfection. Over the last decades there has been a formidable growth in the dimensions and ambitions of the health services. Limited resources may bring this growth to a halt; there are, however, also other reasons for moderation. In preventive healthcare, outreach activities such as genetic testing may have considerable adverse effects. Interventionist approaches to the management of patients, be it in the use of antibiotics or the granting of social benefits, may have unfortunate consequences. The concept of sustainable health services calls for an adequate level of healthcare, not for the pursuit of perfection at any price. There is a right balance between ideals and what can actually be attained; finding it requires an understanding of the fallibility of medicine and of the limits to even the accomplishments of modern medicine.

Health Policy↗

[Cover motifs of the Tidsskrift. A 14-year cavalcade].

In 1985 the Journal of the Norwegian Medical Association changed its cover policy, moving the table of contents inside the Journal and introducing cover illustrations. This article provides an analysis of all cover illustrations published over this 14-year period, 420 covers in all. There is a great variation in cover motifs and designs and a development towards more general motifs. The initial emphasis on historical and medical aspects is now less pronounced, while the use of works of art and nature motifs has increased, and the cover now more often has a direct bearing on the specific contents of the issue. Professor of medical history Oivind Larsen has photographed two thirds of the covers and contributed 95% of the inside essay-style reflections on the cover motif. Over the years, he has expanded the role of the historian of medicine disseminating knowledge to include that of the raconteur with a personal tone of voice. The Journal's covers are now one of its most characteristic features, emblematic of the Journal's ambition of standing for quality and timelessness vis-à-vis the news media, and of its aim of bridging the gap between medicine and the humanities.

History, 20th Century↗

[Life is more].

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Humanism↗