Oslo Kommune

Sexual assault is associated with serious health consequences. Tailored medical follow-up after a sexual assault can be crucial during this difficult time and can help prevent long-term health problems. We aimed to examine attendance and non-attendance at medical follow-up appointments at the Sexual Assault Centre in Oslo, and whether those who initially failed to attend did so after contact had been re-established. As a quality improvement project, we conducted a retrospective observational study of patients at the Sexual Assault Centre in Oslo in 2022. Medical records up to and including 26 weeks after presentation were reviewed. We recorded attendance and non-attendance for medical follow-up appointments, and whether patients who had not initially attended subsequently did so after contact had been re-established. Of the 579 patients who accepted medical follow-up, 275 (47.5%) attended their planned follow-up appointments. Attempts were made to re-establish contact with 274 patients, and of these, 169 (61.7%) attended one or more follow-up appointments. Overall, 444 of 579 (76.7%) attended one or more follow-up appointments. The findings suggest that by re-establishing contact with patients who miss appointments, the Sexual Assault Centre helps ensure more individuals receive medical care after a sexual assault.

Treating patients with drug and alcohol poisoning requires knowledge of which substances are involved. We describe drug and alcohol poisonings at Oslo Accident and Emergency Outpatient Clinic (OAEOC) in the period 2019-23. Cases of drug and alcohol poisoning (as opposed to unique patients) treated at OAEOC between 2019 and 2023 were retrospectively retrieved from the clinic's medical record system. Diagnoses were based on the treating doctor's clinical assessment as recorded in the patient's notes. Incidence rates were calculated based on the population of Oslo municipality aged ≥12 years. In the period 2019-2023, OAEOC treated 18,402 cases of drug and alcohol poisoning, of which 8981 (49%) were due to the consumption of pure ethanol. The overall incidence of drug and alcohol poisonings increased from 6.32 per 1000 inhabitants in 2019 to 6.68 in 2023, with a low point of 5.36 in 2021. The incidence of pure ethanol poisoning was 3.10 in 2019 and 3.06 in 2023, with a low point of 2.53 in 2020. Over the five-year period, the incidence of cocaine poisonings rose from 0.28 to 0.70, and ketamine poisonings from 0.01 to 0.12. The proportion of women increased from 33% to 39% for pure ethanol poisoning, and from 20% to 31% for other drug and alcohol poisonings. The incidence of drug and alcohol poisonings treated at OAEOC increased from 2019 to 2023, with a temporary decline during the COVID-19 pandemic.

I denne studien undersøkte vi erfaringer med en mentorordning blant beboere i rehabilitering for rusmiddelavhengighet i en kommunal kontekst, med et spesielt fokus på betydningen av det å være mentor for egen bedringsprosess. Vi utforsket også eventuelle utfordringer knyttet til mentorordningen. Datamaterialet er basert på kvalitativ metode, og vi gjennomførte tematisk analyse av syv semistrukturerte intervjuer fra beboere som hadde vært på Jegersberg gård (JG) i omtrent ett år. Funnene beskriver mulighetene og utfordringene ved mentorordningen. De ble oppsummert i temaene: 1) ansvar for andres ve og vel, 2) formidlere av håp, 3) fra byrde til ressurs, 4) «Er det noe som dukker opp, venter vi ikke til de ansatte kommer», og 5) når forventningene ikke ble innfridd. Deltakerne hadde en sterk oppfatning av at mentorfunksjonen var en viktig og nyttig ordning for fellesskapet og driften av et slikt rehabiliterende bofellesskap i kommunal regi. Mentorordningen ble fremhevet som et viktig redskap i den enkeltes bedringsprosess, både for beboerne og mentorene selv. Noen aktuelle utfordringer ved mentorrollen nevnes. En mentorordning synes å være et svært aktuelt og nyttig tiltak i kommunal rehabilitering av mennesker med rusmiddelavhengighet.

Healthcare applications using the Internet of Things (IoT) architecture are connected with various medical devices designed to serve patients. Rigorous system testing of health care IoT applications requires integrating multiple medical devices to ensure the dependability of these applications. The integration of numerous physical medical devices with varying versions is a costly and time-consuming process. In this regard, our previous work introduced the concept of employing digital twins (DTs) as substitutes for physical devices for testing purposes. Specifically, we presented a model-based approach to generate DTs of medicine dispensers. The evaluation of our approach with a Karie medicine dispenser demonstrated 92% fidelity of Karie DTs. From our experiences, we observed that the real operating environment of medical devices involves several non-deterministic factors, essential for DTs to reflect devices' behavior precisely. Therefore, we plan to devise a methodology to model and simulate the environment of medical devices DTs, taking into account environmental uncertainties. We intend to empirically evaluate our methodology in the real-world context to analyze the simulation of behavioral models of the environment and uncertain events generated for DTs.

SummaryHealthcare applications with the Internet of Things (IoT) are often safety‐critical, thus, require extensive testing. Such applications are often connected to smart medical devices from various vendors. System‐level testing of such applications requires test infrastructures physically integrating medical devices, which is time and monetary‐wise expensive. Moreover, applications continuously evolve, for example, introducing new devices and users and updating software. Nevertheless, a test infrastructure enabling testing with a few devices is insufficient for testing healthcare IoT systems, hence compromising their dependability. In this paper, we propose a model‐based approach for the creation and operation of digital twins (DTs) of medicine dispensers as a replacement for physical devices to support the automated testing of IoT applications at scale. We evaluate our approach with an industrial IoT system with medicine dispensers in the context of Oslo City and its industrial partners, providing healthcare services to its residents. We study the fidelity of DTs in terms of their functional similarities with their physical counterparts: medicine dispensers. Results show that the DTs behave more than 92% similar to the physical medicine dispensers, providing a faithful replacement for the dispenser.

Andres blikk kan påvirke vår selvopplevelse. Derfor er det viktig at sykepleiere ser pasienten med et blikk som ikke kan misforstås.

SammendragBakgrunn: Hvert år tar cirka 650 personer sitt eget liv i Norge.Sykepleiere er sentrale i omsorgen som blir gitt ved innleggelse etter et selvmordsforsøk.Sykepleierne må kunne regulere sine egne følelser og følelsesmessige uttrykk samt balansere sin egen involvering og avstand for å sikre en god omsorg for selvmordstruede pasienter.Sykepleiernes følelsesmessige reaksjoner kan gi utbrenthet samt ønske om å avslutte arbeidet med