Yu.V. Tomson

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Objectives: To describe a simple method for assessing the quality of drug prescribing. Methods: We tested the idea that the number of drugs accounting for 90% of drug use – drug utilization 90% (DU90%) – may serve as an indicator of the quality of drug prescribing. We ranked the drugs by volume of defined daily doses (DDD) and determined how many drugs(More)
STUDY OBJECTIVE We sought to determine the proportion of emergency department patients who frequently use the ED and to compare their frequency of use of other health care services at non-ED sites. METHODS A computerized patient database covering all ambulatory visits and hospital admissions at all care facilities in the county of Stockholm, Sweden, was(More)
In the south west region of Stockholm a group of 125 general practitioners (GPs) at 27 health centres asked about the extent to which the drug formulary of the University Hospital was useful in their practices. To answer this question, the GPs asked their local pharmacies for prescribing data. When presented this started a process towards rational(More)
OBJECTIVE To explore and compare risk factors for cardiovascular disease in Swedes and immigrants. DESIGN Descriptive analysis of data obtained by personal interview, laboratory investigations, and clinical examination by a trained nurse. SETTING Vårby Health Centre, located in a suburb of Stockholm. The health centre has 32 percent immigrants in its(More)
The aim of this study was to map the psychological/psychiatric, odontological and medical aspects of patients with symptoms allegedly related to the side-effects of mercury in dental fillings. A total of 67 consecutive patients and 64 controls matched for age, sex and residential area were included in the study. The most striking result was the high(More)
OBJECTIVE To evaluate the effect of a nurse-conducted intervention on excessive drinkers. DESIGN Randomized, controlled trial. SETTING Vårby Health Centre, Stockholm. INTERVENTION The intervention group visited a nurse three times during a 12-month period. The controls met once with a general practitioner (GP). PATIENTS Patients were recruited at a(More)
Objective: To assess the effect of an intervention on general practitioners' (GPs) knowledge about the diagnosis and treatment of asthma, including the prescribing of anti-asthmatic drugs, and asthmatic patients' knowledge about their disease. Methods: The study took place in the south-west region of Stockholm County. In the area where the intervention took(More)
Quality assurance of drug prescription is a pre-requisite for rational drug use. From 22 health-care centres in the south-western area of the Stockholm County Council region, drug-prescription data were obtained from the patients' computerised medical recordings. This could be done with the aid of a specially designed database program. The drug-prescription(More)
Study of the proliferative potential and immunophenotype of lymphocytes and cytokine-producing capacity of mononuclear cells in patients with chronic tick-borne encephalitis virus antigenemia showed changes in T cell lymphoproliferative response, relative content of T cells and T helper inductors, immunoregulatory index, and imbalance in the production of(More)
OBJECTIVE To describe medical and odontological aspects of patients who believed their illness was caused by mercury in dental fillings. DESIGN Comparison of self-reported and assessed medical and odontological variables. SETTING The School of Dentistry, Karolinska Institute. SUBJECTS Sixty-seven patients, referred for suspected side-effects of(More)