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At least 1,603 records · Page 89Linked to original sources
PubMed1999

[Physicians in primary health care in Northern Norway 1995-97].

Recruiting general practitioners to Northern Norway is increasingly difficult. In 1997, 28% of all positions in primary health care in the counties of Nordland, Troms and Finnmark were vacant. Problems were worst in the small municipalities with a population of less than 4,000 with 37% of all positions vacant. The insufficient coverage of curative and acute health services is in part compensated for by a great number of short stay physicians. A cross-sectional study in the three northern countries in october 1998 showed that 68% of all general practitioners had Norwegian as their native language. In the small municipalities less than half the physicians were Norwegians.

Cold Climate↗
PubMed1999

Efficacy of air and liquid cooling during light and heavy exercise while wearing NBC clothing.

BACKGROUND: Studies, to date, have not revealed the extent to which the heat strain of continuous heavy exercise while wearing NBC protective clothing can be reduced by providing liquid- or air-cooling and whether one system is more effective than the other in aiding heat transfer from the body and the clothing. It was of interest to know to what extent present-day cooling technologies can reduce the heat strain of light and heavy exercise in NBC clothing and to compare these reductions to other strategies that have employed changes in clothing design. HYPOTHESIS: It was hypothesized that there would be no difference between the liquid and air cooling systems and that sufficient cooling power would be delivered to the body to reduce the heat strain of heavy exercise to a level similar to that experienced with light exercise when no cooling was provided. METHODS: Eight males performed 6 randomized exposures for a maximum of 3 h at 40 degrees C and 30% relative humidity that involved either light (L) (walking at 3.5 km x h(-1) or heavy (H) (walking at 4.8 km x h(-1) and a 5% grade) exercise while wearing the NBC protective clothing ensemble with no cooling (N), liquid (L) or air (A) cooling. RESULTS: For L exercise, tolerance time was significantly increased from 100 min with N to the maximum of 3 h with either cooling system. There was no difference between L and A cooling in the extent of the changes in rectal temperature, heart rate and heat flow. For H exercise, tolerance time was significantly increased 150% from 57 min with N to 149 min with L and 140 min with A. These latter values for HL and HA were not different from each other but both were significantly greater than L exercise with N. Rectal temperature increased more quickly during HL compared with HA during the first 60 min of exposure but there were no differences between cooling trials for the remainder of the heat exposure. CONCLUSIONS: It was concluded that sufficient cooling power could be delivered to the body to effectively reduce the heat strain of wearing NBC protective clothing during heavy exercise in a hot environment to a level comparable to or slightly lower than that experienced with light exercise and no cooling.

Air↗
PubMedDate not supplied

[The cardiovascular system function of schoolchildren in the European North].

Age-specific dynamics of main parameters of circulation and gas exchange was examined in 7-16-year-old schoolchildren residing in the European North. The northern children show rarer and deeper breath and elevated blood pressures, diastolic pressures in particular, than those of the same age who live in the nonchernozem region. The northern boys were found to have higher sensitivity and responsiveness of the cardiorespiratory system to the northern conditions than the northern girls. The revealed cardiorespiratory parameters allowed the authors to predict negative changes in the schoolchildren's health and they may be used to develop regional physical education and health care programmes for 7-16-year-old pupils.

Adolescent↗
PubMed1999

Nutrition, thyroid function and basal metabolism of the Evenki of central Siberia.

Considerable research has shown that indigenous circumpolar populations have elevated basal metabolic rates (BMR). Such elevations are likely promoted by changes in thyroid hormone levels; however, to date, this link between thyroid function and variation in BMR has not been explicitly demonstrated in an indigenous northern group. Thus, the purpose of this paper is to examine 1) the influence of dietary and nutritional factors on variation in thyroid hormone levels, and 2) the influence of thyroid levels on BMR in a sample of indigenous Siberian herders (the Evenki). Measures of body size and composition, dietary intake, thyroid hormones (total and free T3 and T4), thyroid stimulating hormone (TSH) and BMR were obtained for 60 adult subjects (19 males; 41 females) ranging in age from 18-56 years. Thyroid hormone levels in the Evenki were significantly correlated with measures of dietary intake and body composition. Among men, total T3 levels were positively correlated with body weight and fat-free mass (FFM), and negatively correlated with percent body fat; free T4 levels were positively correlated with dietary energy, protein and fat consumption. Among wo-men, there were no clear associations between body composition and thyroid levels; however, dietary energy and protein intakes were po-sitively correlated with total T4 and free T3 levels, respectively. Variation in thyroid hormone levels was associated with differences in BMR. In both sexes, deviations from predicted BMR were positively correlated with free T4 levels. These results demonstrate a link between thyroid hormones and elevated BMR in an indigenous circumpolar population. Further, they show the importance of dietary and nutritional factors for influencing thyroid function and, in turn, metabolic rates among such northern groups.

Adolescent↗
PubMed1999

Regional hospital improves efficiency with co-generation retrofit.

Feasibility analysis of the co-generation retrofit of the Red Deer Regional Hospital pointed to a reasonable payback of capital cost and increased efficiency in operation of the facility. Budget restrictions nearly stopped the project from proceeding. Innovative construction procedures proposed by the Facility Management Group, in particular, Mr Keith Metcalfe, Director of Maintenance, allowed a worthwhile project to reach successful completion. We feel that this model can perhaps be used by similar facilities in the future to achieve their energy efficiency goals.

Alberta↗
PubMed2000

[Effects of angiotensin-converting enzyme (ACE) inhibitors on water-salt homeostasis in hypertensive patients living in Far North].

The aim of the study was evaluation of ACE inhibitors (captopril and ramipril) effect on water-salt homeostasis in the treatment of patients with arterial hypertension (AH) living in the Far North of Russia. 100 male patients with mild and moderate AH were examined 2 weeks, 3 and 6 months after administration of captopril or ramipril. The drugs are shown to correct water-salt metabolism. This is explained by better renal function due to speeding up glomerular filtration and increased sodium excretion with urine, and by activity of humoral mechanisms (inhibited activity of plasma renin, low plasma concentration of aldosterone and its 24-h excretion). Comparison of captopril versus ramipril demonstrates advantages of prolonged ramipril in respect to regulation of water salt metabolism in the treatment of essential hypertension in the Far North.

Adult↗