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Showing papers in "Läkartidningen in 2013"



Journal Article

12 citations





Journal Article
TL;DR: Intervjustudie om de allra aldstas levnadsvillkor : aldre har fatt fler halsoproblem, men klarar vardagen battre.
Abstract: Intervjustudie om de allra aldstas levnadsvillkor : aldre har fatt fler halsoproblem, men klarar vardagen battre

10 citations



Journal Article
TL;DR: Angelaget med generosare provtagning for hepatit C efter blodtransfusion Socialstyrelsens nya rekommendation for riskgrupper islaget mlynedd €1,500,000 (£1,000,000) per year.
Abstract: Angelaget med generosare provtagning for hepatit C efter blodtransfusion Socialstyrelsens nya rekommendation for riskgrupper

9 citations






Journal Article
TL;DR: Forsaljningen av ­l­akemedel i Sverige motsvarar kontinuerlig behandling av 100 000 man i prostataforstoring med avflodeshinder ar en vanlig sjukdom.
Abstract: Godartad prostataforstoring med avflodeshinder ar en vanlig sjukdom. Forsaljningen av ­l­akemedel i Sverige motsvarar kontinuerlig behandling av 100 000 man. Antalet operationer per ar ar 4 500.SBU ...

Journal Article
TL;DR: Infrasound from wind turbines affects the inner ear and is a potential health risk for people with migraine or other type of central nervous system disorder, and the legal framework for the creation of new wind turbines should be revised, taking into account this fact.
Abstract: Infrasound from wind turbines affects the inner ear and is a potential health risk for people with migraine or other type of central nervous system. The authors maintain that the legal framework for the creation of new wind turbines should be revised, taking into account this fact. . Previous scientific studies on wind turbines and infrasound have been contradictory. They have therefore not been sufficiently credible when planning a framework for the establishment of wind turbines. In recent years, however, a new insight has emerged on the central nervous system, providing a better understanding of migraine, fibromyalgia and other chronic pain syndromes [1, 2] and some cases of tinnitus and dizziness. This understanding is also important for understanding how infrasound from wind turbines can affect health. Several studies have found that living near wind turbines often create severe sleep disturbance and depression. They have also found an increased incidence of dizziness, tinnitus, hyperacusis, headache, increased activation of the autonomic nervous system, etc. [3, 4]. In addition to the audible sound, which can provide noise damage and be generally disruptive, mentally, spinning wind turbines also produce a vibrant infrasound that affects the inner ear and the central nervous system without damaging the hearing. Infrasound is sound with frequencies below 20 Hz, corresponding to wavelengths of 17 meters and above, that is not seen with normal hearing. This sound, if it is not mitigated substantially, propagates over very long distances. It arises from several sources, such as pulsating flows from rörmynningar [?], large eddies (such as wind turbines and large jet engines) and large vibrating surfaces. In scientific studies, infrasound from wind turbines has been measured at levels so low that the sound is not perceived by humans. It has also been determined that infrasound from wind turbines does not give rise to noise damage in the traditional sense [5]. In general, what has not been taken into account in many studies, is that infrasound from wind turbines has a rhythmic pulsing sound, and the pulsating sound pressure affects the inner ear, although no sound is perceived by the individual. The pressure waves propagate into the inner ear fluid-filled cavities, and this “massage effect” affects the sensory cells in the inner ear hearing and organs of balance [6]. Many studies fail to take into account the fact that some people are more sensitive than others to the sensory impact. Some are significantly affected by the pulsating sound pressure while others are not affected by it in a significant way. The rhythmic, pumping infrasound from wind turbines stimulates inner ear sensory functions [7, 8]. Such sensory stimulation can occur in people with sensory hypersensitivity . . . causing symptoms such as unsteadiness, dizziness, headache, difficulty concentrating, visual disturbances, and more [9]. The problems arise even if the noise level is relatively low, since infrasound constantly affects . . . the pressure in the inner ear via the vestibular organs. The pulsing sound pressure from wind turbines indirectly activates the autonomic nervous system, causing increased secretion of adrenaline with consequent stress effects, risk of panic disorder, high blood pressure and heart attacks for people with increased sensory sensitivity. Migraine is caused by a genetic central sensory hypersensitivity in people at risk for central nervous system disorder. Migraine prevalence is about 30 percent in the general population [10, 11]. In addition there are other causes of central processing disorder, which means that more than 30 percent of residents in the vicinity of wind turbines could be, to greater or lesser extent, affected by wind-related “annoyance.” Risk groups include people with migraine disorder or a family history of migraines, people over 50 years of age, people with fibromyalgia and those with a tendency to anxiety and depression [12]. Children and adults with ADHD and autism are at risk and could have their symptoms worsened. The issue is not noise damage in the traditional sense, but the effect of a constant pulsating sound pressure that constantly changes the pressure in the inner ear and excites sensory organs there. One can liken it to pulsating or flickering lights—many people are not bothered noticeably, while people with sensory hypersensitivity may experience discomfort. Flickering light can even trigger epilepsy. Likewise,constantly pulsating, non-audible infrasound from wind turbines triggers major problems in people with central sensory hypersensitivity. These problems can become chronic, debilitating and lead to anxiety and depression and increase the risk of heart attack. The current regulatory framework for wind turbines has not taken into account the potential risk to people with central sensory hypersensitivity. Wind turbines erected are being erected too close to homes. The current regulatory framework should be revised with an increased safety distance from homes to prevent or reduce the risk of wind-related morbidity. (Potential ties or conflicts of interest: None declared.) . References 1. Woolf CJ. Central sensitization: Implications for the diagnosis and treatment of pain. Pain. 2011: 152 (3 Suppl): S2-15. 2. Aguggia M, Saracco MG, Cavallini M, et al. Sensitization and pain. Neurol Sci. 2013, 34 Suppl 1: S3740. 3. Farboud A, Crunk Horn R, Trinidade A. ‘Wind Turbine Syndrome’: fact or fiction? J Laryngol Otol. In 2013, 127 (3) :222-6. 4. Shepherd D, McBride D, D Welch, et al. Evaluating the impact of wind turbine noise on health-related quality of life. Noise Health. 2011: 13 (54) :333-9. 5. Work Environment Authority. Noise and bullerbekämp1ning. Stockholm: Swedish Work Environment Authority; 2002. 6. Salt AN, Hullar TE. Responses of the ear to low frequency sounds, infrasound and wind turbines. Hear Res. 2010: 268 (1-2) :12-21. 7. Todd NP, Rosengren SM, Colebatch JG. Tuning and sensitivity of the human vestibular system to lowfrequency vibration. Neurosci Lett. 2008: 444 (1) :36-41. 8. Enbom, H. Vestibular and somatosensory contribution to postural control [dissertation] Lund: Lund University; 1990. 9. Lovati C, Mariotti C Giani L, et al. Central sensitization in photophobic and non-photophobic migraineurs: possible role of retinoblastoma nuclear way in the central sensitization process. Neurol Sci. 2013, 34 (Suppl) :133-fifth 10. Ashina S, Bendtsen L, Ashina M. Pathophysiology of migraine and tension-type headache. Tech Reg Anesth Pain Manag. 2012 (16) :14-8. 11. Aurora SK, Wilkinson F. The brain is hyperexcitable in migraine. Cephalalgia. 2007: 27:1442-53. 12. Desmeules YES, Cedraschi C, Rapiti E, et al. Neurophysiologic evidence for a central sensitization in patient with fibromyalgia. Arthritis Rheum. 2003, 48:1420-9.



Journal Article
TL;DR: The projected number of deaths due to chronic disease in India was around 5.21 million in 2008 and is expected to rise to 7.63 million in 2020 (66.7% of all deaths).
Abstract: Chronic diseases have become a major public health problem. Chronic diseases are a leading cause of morbidity and mortality in India and other lowand middle-income countries. The chronic diseases account for 60% of all deaths worldwide. Eighty percentage of chronic disease deaths worldwide occur in lowand middleincome countries.1 In India, the projected number of deaths due to chronic disease was around 5.21 million in 2008 and is expected to rise to 7.63 million in 2020 (66.7% of all deaths).2

Journal Article
TL;DR: Amning och tillvanjning till fast foda for friska fullgangna barn : En kunskapsoversikt fran Barnlakarforeningen och Livsmedelsverket.
Abstract: Amning och tillvanjning till fast foda for friska fullgangna barn : En kunskapsoversikt fran Barnlakarforeningen och Livsmedelsverket




Journal Article
TL;DR: Child Health Centers within Family Centers offers better parental support and a national web-based survey reveals advantages of co-location.
Abstract: [Child Health Centers within Family Centers offers better parental support. A national web-based survey reveals advantages of co-location].

Journal Article
TL;DR: HbA1c blir kompletterande metod for diagnostik av diabetes as discussed by the authors : samordnat inforande i Sverige januari 2014
Abstract: HbA1c blir kompletterande metod for diagnostik av diabetes : samordnat inforande i Sverige januari 2014


Journal Article
TL;DR: Sverige har Nordens hoogsta aborttal : Oonskade graviditeter bor ses i helhetsperspektiv - individer, vard, samhalle.
Abstract: Sverige har Nordens hoogsta aborttal : Oonskade graviditeter bor ses i helhetsperspektiv - individer, vard, samhalle