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OBJECTIVE Population studies demonstrate that attending cultural events is conducive to improved health when baseline health, income, education, and health habits are taken into account. Animal experiments suggest possible mechanisms. We studied the link in humans between attending cultural events and health in a randomized controlled trial. METHODS(More)
BACKGROUND Most localized prostate cancers are believed to have an indolent course. Within 15 yr of diagnosis, most deaths among men with prostate cancer (PCa) can be attributed to other competing causes. However, data from studies with extended follow-up are insufficient to determine appropriate treatment for men with localized disease. OBJECTIVE To(More)
Prostate cancer (PC) is the most common cancer in the Western world and the second most important cancer causing male deaths, after lung cancer, in the United States and Britain. Lifestyle and dietary changes are recommended for men diagnosed with early-stage PC. It has been shown that a diet rich in whole grain (WG) rye reduces the progression of(More)
BACKGROUND Evaluation of outcome in general practice can be seen from different viewpoints. In this study we focus on the concepts patients use to describe the outcome of a consultation with a GP. METHOD Patients were interviewed within a week after a consultation with a GP. The interviews were made with 20 patients in 5 focus groups and 8 individually.(More)
OBJECTIVE To give an overview of the concepts used to describe and evaluate the outcome of general practice consultations. METHOD A literature study was undertaken. Among 101 articles relevant to the subject 35 were chosen to illustrate the concepts found. RESULT The following concepts were found: disease control, patient compliance, efficacy, symptom(More)
Prostate tumors arise primarily in the peripheral zone (PZ) of the prostate, but 20-30% arise in the transition zone (TZ). Zone of origin may have prognostic value or reflect distinct molecular subtypes; however, it can be difficult to determine in practice. Using whole-genome gene expression, we built a signature of zone using normal tissue from five(More)
OBJECTIVE To assess the extent of frequent attendance as a persistent characteristic of patients by repeat studies of attendance at a health centre. DESIGN A follow-up of frequent attenders and compared patients in 1991 among frequent attenders in 1996. SETTING Mariehem health centre in Umeå in northern Sweden providing care for 10,500 and 12,000(More)
BACKGROUND Outcomes from GPs' consultations have been measured mainly with disease specific measures and with patient questionnaires about health, satisfaction, enablement and quality. The aim of this study was to explore GPs' conceptions of consultation outcomes. METHODS Interviews with 17 GPs in groups and individually about consultation outcomes from(More)
A question from the Director of Health and Social Security--"What happens when so many patients seek help, and apparently don't get any?"--resulted in an enquiry, which mapped how the medical staff thought about "psychosomatic" problems. One consequence was the pilot project discussed in this article: a training programme with two aims--to increase(More)
Time and general practice consultations-aspects of length, attendance and quality Akademisk avhandling som med vederbörligt tillstånd av Rektor vid Umeå Universitet för avläggande av medicine doktorsexamen kommer att offentligt försvaras i Summary Time and general practice consultations-aspects of length, attendance and quality. The consultation is the GP's(More)