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Biomedical subjects

R Johnsen

Publications and source records attributed to R Johnsen.

42 records · Page 3Linked to original sources

Peptic ulcer and non-ulcer dyspepsia--a disease and a disorder.

In a cross-sectional survey for coronary risk factors, 14,390 middle-aged men and women answered a questionnaire concerning life-style, diet and disease, including peptic ulcer (PU) and dyspeptic symptoms. The overall lifetime prevalence of reported PU was 5.3% in men and 2.1% in women. The prevalence of reported dyspeptic symptoms, consistent with non-ulcer dyspepsia (NUD), was 22.6% in men and 18.1% in women. Reporting of both PU and NUD was significantly associated with sex and age, NUD less marked than PU. PU and NUD differed substantially with respect to associations with psychologic, social, life-style, and dietary variables. PU was strongly associated with age, a family history of peptic ulcer, body mass index, and smoking. NUD, on the other hand, showed closest association to psychological factors and social conditions. This difference between PU and NUD might be of aetiological and therefore clinical significance, and calls for therapeutic trials in NUD patients with interventions different from the traditional peptic ulcer treatments.

Adult↗

Associations between symptoms of irritable colon and psychological and social conditions and lifestyle.

In a survey of risk factors for coronary heart disease 14 102 middle aged men and women answered a questionnaire on lifestyle, diet, and health, including symptoms of functional abdominal disorders. The overall prevalence of reports of one or both of the abdominal symptoms of "bloating and rumbling" or "cramping abdominal pain" was 28% in men and 35% in women. Only a weak negative association between age and prevalence of reported pain was found in both sexes. Women reported abdominal symptoms, especially cramping abdominal pain, significantly more commonly than men. In a multiple regression analysis abdominal symptoms were much more strongly associated with symptoms of mental stress such as depression, sleeping difficulties, problems of coping, and the use of analgesics than with lifestyle, dietary, and social variables together. The association was stronger in subjects reporting both symptoms. This strong and consistent association between functional abdominal disorders and psychological and social problems suggests that action other than prescribing drugs, diets, or radiography is required.

Adult↗

Practical training of medical students in community medicine. Eight years experience from the University of Tromsø.

From its beginning, the Medical School at the University of Tromsø aimed at obtaining a better balance between clinical medicine, basic science and community medicine in its curriculum. This was obtained by using the integrated model for teaching, having a separate study-block for community medicine, incorporating field work in local hospitals and with district doctors and requiring the students to write a scientific paper before qualifying. The 8-week field training with a district doctor started in 1978. Evaluations from these eight years have been analysed and show that students, during these eight weeks, are involved in many aspects of family- and community medicine. The programme has been given positive evaluations from both students and teachers. We conclude that the field training given to medical students in Tromsø is an efficient way of preparing the medical students for future clinical work both inside and outside institutions.

Clinical Clerkship↗